Uveal melanoma incidentally diagnosed with neuroimaging, a case series of 3 patients

Uveal melanoma is the most common primary intraocular malignancy and can occur in the choroid, the ciliary body, or the iris. It is most often diagnosed based on clinical examination by an ophthalmologist. Nearly all patients present with visual symptoms. Characteristic findings on clinical examinat...

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Autores principales: Mai Tsukikawa, MD, Babatunde Akinpelu, MD, Pattana Wangaryattawanich, MD, Kathryn Scherpelz, MDPhD, Andrew W. Stacey, MDMS
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
Materias:
CT
MRI
Acceso en línea:https://doaj.org/article/09db88c27d5646c6979009a49bfdbec0
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Sumario:Uveal melanoma is the most common primary intraocular malignancy and can occur in the choroid, the ciliary body, or the iris. It is most often diagnosed based on clinical examination by an ophthalmologist. Nearly all patients present with visual symptoms. Characteristic findings on clinical examination include pigmented or pale choroidal masses with serous retinal detachments and acoustic hollowness seen with ocular ultrasonography. CT and MRI of the orbits are not traditionally utilized for the diagnosis of uveal melanoma. We present 3 cases in which uveal melanoma was an incidental finding on neuroimaging for unrelated conditions in asymptomatic patients. Radiologists should maintain a high suspicion for uveal melanoma when an intraocular mass of greater than 2 mm in thickness is seen on CT or MRI.