SHORT COMMUNICATIONSGastric metastases from conjunctival melanomaCohen, Victoria M.L.b; Ahmadi-lari, Shervina; Hungerford, John L.bAuthor Information aOcular Oncology Service, Moorfields Eye Hospital and St Bartholomew's Hospital bOcular Oncology Service, St Bartholomew's Hospital, London, UK Correspondence to Dr Victoria M.L. Cohen, MD, Moorfields Eye Hospital, City Road, EC1V 2PD, London, UK Tel: +44 07867800736; e-mail: [email protected] Received 27 August 2006 Accepted 25 March 2007 Melanoma Research: August 2007 - Volume 17 - Issue 4 - p 255-256 doi: 10.1097/CMR.0b013e3281c4a056 Buy Metrics Abstract The aim of the study is to discuss the pattern and risk factors for metastatic disease in conjunctival melanoma. We draw comparisons with cutaneous metastatic melanoma. We describe the clinical course of a patient with recurrent conjunctival melanoma in the context of primary acquired melanosis with atypia. The local disease was eventually treated with a lid splitting exenteration. The patient suffered from an isolated distant metastasis to the gastric wall that was managed by partial gastrectomy. Conjunctival melanoma has many similarities with its cutaneous counterpart. In both conditions the regional lymph nodes are the most common site for metastases, however, isolated distant metastases can occur. Gastric metastases are frequently seen in cutaneous melanoma. This is the first report of an isolated gastric metastasis from a conjunctival melanoma. © 2007 Lippincott Williams & Wilkins, Inc.