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abstract: 'The most common primary intraocular malignant tumour is choroidal melanoma. Reported incidence of intraocular melanoma is less than 1 per 100,000. Liver is the most frequent site of metastasis, and involvement of the other sites generally occurs in association with liver metastasis. The present case had an unusual presentation of, rapidly refilling massive ascites and right pleural effusion, following exenteration of the right eye 4 years earlier for primary choroid melanoma. To the best of our knowledge this is the first case of intra abdominal melanotic rapidly refilling ascites following primary choroidal melanoma masquerading as an ovarian tumour. We have discussed the atypical presentation, difficulties in arriving at a diagnosis preoperatively, intraoperative dilemmas and the post operative management.'
altloc:
  - http://www.ojhas.org/issue43/2012-3-14.htm
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commentary: ~
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creators_id:
  - shakuntala_pn@yahoo.com
  - ~
  - ~
  - ~
  - ~
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creators_name:
  - family: Shakuntala
    given: PN
    honourific: ''
    lineage: ''
  - family: Bafna
    given: UD
    honourific: ''
    lineage: ''
  - family: Shobha
    given: K
    honourific: ''
    lineage: ''
  - family: Rao
    given: CR
    honourific: ''
    lineage: ''
  - family: Aruna
    given: S
    honourific: ''
    lineage: ''
  - family: Umadevi
    given: K
    honourific: ''
    lineage: ''
date: 2012-10-25
date_type: published
datestamp: 2013-05-04 23:08:53
department: ~
dir: disk0/00/00/89/24
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editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr
    lineage: ''
eprint_status: archive
eprintid: 8924
fileinfo: /style/images/fileicons/application_pdf.png;/8924/1/2012-3-14.pdf
full_text_status: public
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keywords: Primary choroidal melanoma; Melanotic ascites; Debulking surgery.
lastmod: 2013-05-04 23:08:53
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 3(14)
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pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Kakkilaya BS
refereed: TRUE
referencetext: "1.\tInaoka T, Takahashi K, Tandai S, Miyokawa N, Abe Y, Matsuno T, Aburano T. Primary clear cell sarcoma (malignant melanoma) in the right radius. Skeletal Radiol2003;32:594-597.\r\n2.\tGarcia-Valenzuela E. Melanoma Choroidal. Available at http://www.emediine.com/oph/topic403.htm. [accessed August 4, 2012]\r\n3.\tHabek.D, Marton I, Bauman R, Prka M. Ruptured ovarian metastatic malignant melanoma caused acute abdomen. Cent. Eur. J. Med. 2012;7(2):24-244. DOI:10.2478/s11536-011-0133-y\r\n4.\tAbe Y, Takeuchiu M, Matsuzaki K, Uchara H, Furumoto H, Nishitani H. A case of metastaic malignant melanoma of the ovary with a multilocular cystic appearance on MR imaging. Jpn J Radiol 2009;27:458-461.\r\n5.\tSbitti Y, Fadoukhair Z, Kadiri H, Oukabli M, Essaidi I, Kharmoum S, M'rabti H, Albouzidi A, Ichou M, Errihani H. Diagnostic challenge for ovarian malignant melanoma in premenopausal women: primary or metastatic? World J Surg Oncol. 2011 Jun 17;9:65.\r\n6.\tAgarwal. S, Yao TJ, Coit DG, Surgery for Melanoma Metastatic to the Gastro intestinal tract. Ann. Surg. Oncol 1999;6(4):336-344.\r\n7.\tWood TF, DiFronzo A, Rose M, et al. Does complete Resection of melanoma metastatic to solid intra abdominal organs improve survival? Ann. Surg. Oncol.2001;8(8):658-662.\r\n8.\tAlbert DM, Van Buren JJ. Intraocular melanoma. In DeVita VT Jr, Hellman S, Rosenberg SA. (Eds) Cancer Principles and practice of oncology. Vol 2. 8th edition. Wolters Kluwer / Lippincott Williams & Wilkins Publishers, Philadelphia. 2008. pp1951-1967\r\n9.\tInskip PD, Devesa SS, Fraumeni JF. Trends in the incidence of ocular melanoma in the United States, 1974–1998. Cancer Causes Control 2003; 14:251-257.\r\n10.\tBedikian AY, Legha SS, Mavligit G, Carrasco CH, Khorana S, Plager C, Papadopoulos N, Benjamin RS. Treatment of uveal melanoma metastatic to the liver: a review of the M. D. Anderson Cancer Center experience and prognostic factors. Cancer 1995;76:1665-1670."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 9
series: ~
source: ~
status_changed: 2013-05-04 23:08:53
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: A Rare Case of Metastatic Intra-abdominal Melanoma Following Exenteration of Right Eye for Primary Choroidal Melanoma
type: journale
userid: 4338
volume: 11
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