%0 Journal Article
%T Pigmented Conjunctival Lesions as Presenting Signs of Vaginal Melanoma
%A Dale R. Meyer
%A Martha J. Farber
%A Paul O. Phelps
%J Archive of "Ocular Oncology and Pathology".
%D 2018
%R 10.1159/000478278
%X A 43-year-old woman was referred to an oculoplastic surgeon for the evaluation of 2 small pigmented lesions in the tarsal conjunctiva. She underwent a biopsy of the lesions, both of which were found to be consistent with metastatic melanoma. Follow-up with the patient revealed that she had been hospitalized for balance issues and headaches. An MRI of her brain revealed a hemorrhagic mass and several smaller foci suspicious for metastatic lesions. A thorough workup included an evaluation for bloody vaginal discharge. Biopsy of a pigmented portion of the vaginal mucosa lesion revealed BRAF-positive melanoma. This was determined to be the primary site of her malignant metastatic melanoma, which caused her death within 6 months of presentation
%K Melanoma
%K Conjunctival neoplasms
%K Vaginal neoplasms
%K Neoplasm metastasis
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167657/