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The December 2004 issue of the ARCHIVES contained a graphic, decidedly provocative clinicopathologic report by Elner et al¹ entitled "Histopathology of Documented Growth in Small Melanocytic Choroidal Tumors." Elner and colleagues described 2 choroidal melanocytic tumors that became symptomatic, developed orange pigment, and showed documented growth. Both patients elected to have the eye removed. By histopathologic analysis, case 1 was diagnosed as an epithelioid-type malignant melanoma and case 2 as a benign nevus. Elner and colleagues concluded that documented growth is not an unequivocal indicator of melanoma for small melanocytic growth. I will certainly not argue with their conclusion, but they have not convinced me that the second tumor was a benign nevus.

Regarding tumor growth, Elner and colleagues pointed out that the nevus showed greater growth in height than the malignant melanoma (2.0 mm vs 1.7 mm, respectively), but it was over a longer period (5 years vs . . . [Full Text of this Article]

AUTHOR INFORMATION
Tero Kivelä, MD, FEBO

RELATED ARTICLE

Histopathology of Documented Growth in Small Melanocytic Choroidal Tumors
Victor M. Elner, Andrew Flint, and Andrew K. Vine
Arch Ophthalmol. 2004;122(12):1876-1878.
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