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II. PROBLEMS IN DIAGNOSIS

T. L. TERRY, M.D.

Arch Ophthal. 1939;22(6):989-1022.

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

Mistakes in the diagnosis of malignant melanoma¹ are numerous. They are of two general types, namely : (1) failure to discover the presence of the tumor and (2) confusion of some other pathologic condition with malignant melanoma.

FAILURE TO DISCOVER THE PRESENCE OF THE TUMOR

Failure to discover the presence of the tumor appears to be the more common error. In a recent statistical study of 94 cases of tumor² it was found that 42 of the eyes were enucleated without the surgeon's suspecting that a neoplasm was in the eye. The correct diagnosis was established in the pathologic laboratory. The presence of the tumor always was obscured by some more obvious but usually closely related clinical entity (table 1). The fundus in many instances could not be examined ophthalmoscopically.

Glaucoma, a common complication of the neoplasm, was found in 41 of 94 cases (44 per cent). The tumors . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Harvard Medical School and the Massachusetts Eye and Ear Infirmary.

Footnotes
Read before the Section on Ophthalmology at the Ninetieth Annual Session of the American Medical Association, St. Louis, May 18, 1939.

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