Metastatic malignant melanoma in an endometrial polyp

Dermatol Online J. 2021 Apr 15;27(4):13030/qt9m97010n.

Abstract

Melanocytic metastasis to gynecologic organs is rare with most metastases to the ovaries. Metastases to the uterus, or in this case report, a uterine polyp, is exceedingly rare with only 17 cases reported in the literature. Post-menopausal bleeding is the most common presentation of metastatic melanoma in the endometrium, followed by uterine bleeding or abnormal postnatal bleeding in the premenopausal population. We present an 81-year-old woman with metastatic melanoma confined to an endometrial polyp leading to the diagnosis of widespread dissemination of the patient's acral melanoma resected 6 years prior. Although rare, metastatic melanoma should be considered as a cause for abnormal bleeding, especially in the post-menopausal patient with a history of melanoma.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Endometrial Neoplasms / complications
  • Endometrial Neoplasms / pathology
  • Endometrial Neoplasms / secondary*
  • Endometrium
  • Female
  • Humans
  • Melanoma / secondary*
  • Melanoma, Cutaneous Malignant
  • Polyps / complications
  • Polyps / pathology*
  • Postmenopause
  • Skin Neoplasms / pathology*
  • Uterine Hemorrhage / etiology*