Adam, AhmedEngelbrecht, Matthys J.Van Heerden, Izak J.2010-11-122010-11-122010-01Adam, A, Engelbrecht, MJ & Van Heerden, IJ 2010, 'A fatal case of an adrenal gland melanoma with a mysterious primary lesion', The Internet Journal of Urology, vol. 6, no. 2, pp. 1-9. [http://www.ispub.com/ostia/index.php?xmlFilePath=journals/iju/front.xml]1528-8390http://hdl.handle.net/2263/15265Adrenal gland involvement by metastatic melanoma is a common finding in patients with cutaneous or ocular melanomas. We report on the presence of an adrenal gland melanoma in a young female, without a documented primary lesion. A diagnosis of a primary adrenal melanoma was considered and after applying diagnostic criteria, could not be established. An attempt at resection via a nephroadrenalectomy and bilateral pulmonary metastectomies were performed. At 6-month follow up the patient presented with disease progression and demised prior to initiation of chemotherapy, at 22 years of age.enInternet Scientific Publications, LLCAdrenal glandMelanomaMetastaticPrimaryArticle