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Unilateral Multifocal Uveal Melanoma With Occult Ring Melanoma
Arch Ophthalmol. 2002;120:1090-1091.
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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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Unilateral multifocal uveal melanoma is a neoplastic curiosity that
needs to be clinically distinguished from metastatic carcinoma and metastases
of cutaneous melanoma. We describe a patient with a small posterior choroidal
melanoma who developed 2 separate nonpigmented angle tumors in the same eye
after treatment. The angle tumors simulated metastases of either the primary
choroidal melanoma or an unrecognized systemic malignancy. When the eye was
removed, we found an occult ring melanoma of the ciliary body with invasion
of the angle.
Report of a Case
A 71-year-old woman was referred for the evaluation of a pigmented tumor
in her right eye. An examination revealed a visual acuity of counting fingers
at 3 ft OD and 20/40 OS. Positive findings included bilateral cataracts and
a 6-mm heart-shaped, pigmented choroidal tumor above the right optic disc
(Figure 1A). A 3-mm flat, pigmented
nevus was present temporal to the left macula. A standardized A-scan of . . . [Full Text of this Article] Comment
Corresponding author: Curtis E. Margo, MD, MPH, Department of Ophthalmology,
Watson Clinic LLP, 1600 Lakeland Hills Blvd, Lakeland, FL 33805 (e-mail: cmargo@watsonclinic.com).
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