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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 243-245

Early ipsilateral orbital metastasis of choroidal melanoma without evidence of hepatic metastasis: Case report

1 Department of Ophthalmology and Visual Sciences, Ocular Oncology Service, Universidade Federal de São Paulo, São Paulo, Brazil
2 Department of Ophthalmology, University of Montreal, Hopital Maisoneuve-Rosemont, Montreal, QC H1T 2M4, Canada

Correspondence Address:
Dr. Ever Ernesto Caso Rodriguez
Ocular Oncology Service, Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo, Rua Botucatu, 822, Sao Paulo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_657_21

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Uveal melanoma is the most common primary intraocular cancer in adults. The liver is the most common site of metastasis. Ipsilateral orbital metastasis without radiological and clinical evidence of liver metastasis is extremely rare. We present a 77-year-old patient with choroidal melanoma in his right eye who was treated with enucleation and 9 months later presented ipsilateral orbital metastasis without radiological and clinical evidence of metastatic liver lesions. After the diagnosis of orbital metastasis, he underwent exenteration and radiotherapy and the patient developed lung, liver, and subcutaneous metastases in the following months. Early detection of uveal melanoma and especially when the tumor is small, can save lives since no treatment has proven to significantly alter mortality when there is metastatic disease.

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