Metastasis in choroidal melanoma is frequent on advanced diseases, involving mainly the liver, lungs and central nervous system. We report a case of cutaneous metastasis in choroidal melanoma because is an unusual condition, even in advanced disease.

Choroid metastasis have been considered the most common ocular malignancy. Early detection allows arrangements to provide tumor reduction and to improve visual quality. Many treatments have been proposed to aim these objectives. This work reviews clinical characteristics, diagnosis and monitoring methods, characteristics of complementary exams, and treatments used in patients with this disease.

A fifty nine years old female presented a painful proptotic left eye for thirty days. Computed thomography of the orbits disclosed an orbital mass associated with osteolysis and intracranial invasion. Biopsy of the orbital tumor revealed the diagnosis of hepatocellular carcinoma. Computed tomography showed the liver as the primary site of the tumor. Chemoterapy induced a significativ reduction of the orbital tumor. After four months, the orbital tumor increased its size and the pacient died ninetheen months after the diagnosis.