AUTHOR=Buiar Pedro Grachinski , Azevedo Sérgio Jobim de 

TITLE=Atypical Presentation: Metastatic Uveal Melanoma in a Young Patient without Visual Complaints

JOURNAL=Frontiers in Oncology

VOLUME=Volume 7 - 2017

YEAR=2017

URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2017.00099

DOI=10.3389/fonc.2017.00099

ISSN=2234-943X

ABSTRACT=Background: Uveal Melanoma is a rare and aggressive subtype of melanoma, with singular characteristics that separate it from the most famous, the cutaneous melanoma. This uncommon condition becomes even rarer if we look to young population. Traditional chemotherapy doesn´t work with this aggressive disease in its metastatic scenario, and the new armament like targeted and immunotherapies are still looking for more robust evidence. 
Case Presentation: We report a rare case of uveal melanoma in a patient below 20 years of age, with abdominal pain as his initial complaint. He couldn´t present with the traditional visual symptoms of the primary site because of an auto-accident suffered 4 months before the presentation, letting him blind of the eye affected by the tumor development.
Conclusion: There is always a possibility of the diagnosis of uveal melanoma in cases with associated isolated hepatic metastases, even in a young population, where this hypothesis is often rejected by the epidemiological frequency of other tumors. This rare case is an useful example.