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Case Study 150 Diffuse Choroidal Melanoma

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Clinical Ophthalmic Echography

Abstract

TY is a 25-year-old man who was noted on routine examination to have a dark choroidal lesion with poorly defined margins. Echography revealed low-reflective choroidal thickening in the area of the lesion on A-scan and an irregular surface on B-scan (Fig. 1). The differential diagnosis included an infiltrative process either by inflammatory or neoplastic cells. A systemic workup for malignancy was negative. He returned for follow-up in 3 months, and the lesion had increased in size. Because of the high probability of diffuse melanoma, the eye was enucleated and pathology confirmed the diagnosis of epithelioid melanoma.

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Reference

  1. Schlotzger-Scherhardt S, Junermann A, Naumann GOH. Mushroom-shaped choroidal melanocytoma mimicking malignant melanoma. Arch Ophthalmol. 2002;120:82–4.

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© 2014 Springer Science+Business Media New York

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Harrie, R.P., Kendall, C.J. (2014). Case Study 150 Diffuse Choroidal Melanoma. In: Clinical Ophthalmic Echography. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7082-3_150

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  • DOI: https://doi.org/10.1007/978-1-4614-7082-3_150

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7081-6

  • Online ISBN: 978-1-4614-7082-3

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