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Choroidal Melanoma Treated With Cryotherapy
Arch Ophthalmol. 2002;120:393-395.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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The treatment of small choroidal melanocytic tumors is evolving because
of the recognition of risk factors for growth and metastasis.1-3
Ideally, the treatment of small melanocytic tumors would completely eradicate
the tumor without compromising visual acuity. Cryotherapy has been used in
a limited fashion for the treatment of choroidal melanomas.4-6
Lincoff et al4 and Brovkina et al5 evaluated cryotherapy in small series of patients
with medium-sized and large melanomas, but exudative retinal detachment and
incomplete tumor destruction compromised treatment. We report the clinical
and histopathologic findings in a patient treated with cryotherapy for a small,
growing choroidal melanocytic tumor 125 months before death from unrelated
causes.
Report of a Case
The patient was initially seen in August 1988 for a routine eye examination
and was found to have a pigmented juxtapapillary choroidal lesion (Figure 1). By January 24, 1989, the lesion
had clearly enlarged. Examination at that time showed visual acuity of . . . [Full Text of this Article] Comment
Corresponding author and reprints: David J. Wilson, MD, Casey Eye
Institute, Oregon Health & Science University, 3375 SW Terwilliger Blvd,
Portland, OR 97201-4197 (e-mail: wilsonda@ohsu.edu).
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