%0 Journal Article
%T Choroidal melanoma metastatizing to the biliary system: A diagnostic dilemma
%A Agarwal Samir
%A Bhattacharya Indranil
%A Patil Yoganand
%A Amrapurkar Anjali
%J Indian Journal of Medical and Paediatric Oncology
%D 2009
%I Medknow Publications
%X 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 ¡äis¡ä a common site for metastasis of choroid melanoma, the patient presenting with a suspected gall bladder mass ¡äis¡ä 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¡äs presentation.
%K Choroidal melanoma
%K gall bladder
%K metastases
%U http://www.ijmpo.org/article.asp?issn=0971-5851;year=2009;volume=30;issue=4;spage=138;epage=140;aulast=Agarwal