A Case of Metastatic Malignant Melanoma of the Lung Recurring 12 Years after Removal of the Primary Lesion in the Eyeball

Abstract

A 46-year-old male patient complained of chest discomfort and chest X-ray revealed a tumor shadow in the right S^3 region and atelectasis associated with a tumor shadow in the right middle lobe. Bronchoscopy showed a black tumor at the orifice of the right middle lobe bronchus which was diagnosed as malignant melanoma by transbronchial biopsy. On bone scintigram and CT, bone metastasis was observed in the left ischium. No effect was obtained after two courses of chemotherapy (DTIC, ACNU, VCR). But at present he is still alive 1 year and 8 months after admission and he is treated as an outpatient. Twelve years before, this case was diagnosed as choroidal malignant melanoma of the right eye and the eyebell was removed and he received radiotherapy. Therefore the case was diagnosed a having both lung and bone metastasis from the primary choroidal malignant melanoma.