Intra-ocular melanoma metastatic to an axillary lymph node: A case report

<p>Abstract</p> <p>Background</p> <p>Unusual metastatic presentation of intra-ocular melanoma.</p> <p>Study Design</p> <p>Case report.</p> <p>Discussion</p> <p>Extra-regional lymphatic spread of intra-ocular melanoma has not been reported previously in the literature. The usual pattern of metastasis for intra-ocular melanoma is hematogenous. There are few reports of regional spread to the maxillofacial bones. We report an interesting case of a 51 year old female with prior history of right eye melanoma, now presenting with metastasis to the left axilla, which is an extra-regional nodal basin.</p> <p>Conclusion</p> <p>In female patients presenting with an isolated axillary mass, with a negative breast work up and known prior history of melanoma, the differential diagnosis should include possible metastatic melanoma. Core biopsy will confirm the diagnosis and tailor subsequent management.</p