Early satellite metastatic uveal melanoma to the lower eyelid--the first report.

ABSTRACT

PURPOSE: To present a unique case of an early satellite metastatic uveal melanoma to the ipsilateral lower eyelid. METHODS: Retrospective review of the medical records of a single patient. RESULTS: A 71-year-old white male developed a fast growing, painless, solitary, subcutaneous, nodular mass in the medial half of his right lower eyelid 13 months after enucleation of the right eye for inferonasally located uveal melanoma of the spindle cell type. Microscopically excised eyelid tumor proved to be malignant melanoma of the epitheloid type. The patient underwent complete systemic examination including positron emission tomography that ruled out the primary cutaneous or visceral melanoma. CONCLUSION: The paper is, according to our knowledge, the first documented case of an early satellite metastatic uveal melanoma to the lower eyelid in the patient with no evidence of further metastases.