A 59-year-old woman with a history of blindness in one eye presents with pain, leading to the discovery of an orbital mass and widespread metastatic disease.
A 59-year-old woman presented to the emergency department with a 4-day history of inflammation and pain in the right eye. She had been blind in the eye for several years before presentation. Magnetic resonance imaging revealed a right orbital mass. Abdominal and thoracic imaging showed numerous hepatic masses, abdominal and thoracic lymphadenopathy, and vertebral sclerotic osseous disease. The right eye was enucleated for palliative relief and to obtain tissue for diagnosis. What is the diagnosis?
What is the most likely diagnosis?
Enucleation, Metastatic Disease, Oncology, Ophthalmology, Uveal melanoma
