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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2009; 30(04): 138-140
DOI: 10.4103/0971-5851.65337
CASE REPORT

Choroidal melanoma metastatizing to the biliary system: A diagnostic dilemma

Samir R Agarwal
Department of Pathology, Jagjivanram Hospital, Western Railway, Maratha Mandir Marg, Mumbai Central, Mumbai - 400 008, India
,
Indranil Bhattacharya
Department of Pathology, Jagjivanram Hospital, Western Railway, Maratha Mandir Marg, Mumbai Central, Mumbai - 400 008, India
,
Yoganand V Patil
Department of Pathology, Jagjivanram Hospital, Western Railway, Maratha Mandir Marg, Mumbai Central, Mumbai - 400 008, India
,
Anjali D Amrapurkar
Department of Pathology, Jagjivanram Hospital, Western Railway, Maratha Mandir Marg, Mumbai Central, Mumbai - 400 008, India
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Abstract

Metastatic melanoma to the gall bladder is extremely rare and is associated with a very poor prognosis. We report a case of choroidal melanoma metastatizing to the hepatobiliary system, with an unusual presentation. Our patient presenting with obstructive jaundice was misdiagnosed as having carcinoma of the gall-bladder, but the diagnosis of metastatic melanoma to the gallbladder was confirmed by ultrasonography guided fine needle aspiration cytology (USG-FNAC). On reviewing the past history, the patient had a history of enucleation for choroidal melanoma. Even though the liver ′is′ a common site for metastasis of choroid melanoma, the patient presenting with a suspected gall bladder mass ′is′ a rare presentation. Hence, gastrointestinal symptoms and a history of melanoma should be investigated for the presence of gastrointestinal or liver metastases, even if the original primary malignancy was diagnosed years before the patient′s presentation.

Keywords

Choroidal melanoma - gall bladder - metastases


Publikationsverlauf

Artikel online veröffentlicht:
19. November 2021

© 2009. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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