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  Vol. 120 No. 8, August 2002 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinicopathologic Reports, Case Reports, and Small Case Series
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Unilateral Multifocal Uveal Melanoma With Occult Ring Melanoma

Arch Ophthalmol. 2002;120:1090-1091.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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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