Choroidal melanoma with massive extraocular extensions through sclera

Motoki Kimura,1 Nahoko Ogata,2 Chieko Shima,3 Kanji Takahashi,41Departments of Ophthalmology, Kansai Medical University, Kouri Hospital, Osaka, 2Nara Medical University, Nara, 3Osaka Saisekai Noe Hospital, Imperial Gift Foundation Inc, Osaka, 4Kansai Medical University, Hirakata Hospital, Osaka, Jap...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kimura M, Ogata N, Shima C, Takahashi K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e75f12d091664265b45060d66b6de86b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e75f12d091664265b45060d66b6de86b
record_format	dspace
spelling	oai:doaj.org-article:e75f12d091664265b45060d66b6de86b2021-12-02T08:32:12ZChoroidal melanoma with massive extraocular extensions through sclera1177-54671177-5483https://doaj.org/article/e75f12d091664265b45060d66b6de86b2012-12-01T00:00:00Zhttp://www.dovepress.com/choroidal-melanoma-with-massive-extraocular-extensions-through-sclera-a11744https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Motoki Kimura,1 Nahoko Ogata,2 Chieko Shima,3 Kanji Takahashi,41Departments of Ophthalmology, Kansai Medical University, Kouri Hospital, Osaka, 2Nara Medical University, Nara, 3Osaka Saisekai Noe Hospital, Imperial Gift Foundation Inc, Osaka, 4Kansai Medical University, Hirakata Hospital, Osaka, JapanAbstract: We report a case of choroidal melanoma with massive extraocular extensions through the sclera. A 64-year-old woman reported blurred vision in her right eye. At the first visit, visual acuity was 10/20 OD. An ophthalmological examination revealed a raised choroidal mass and exudative retinal detachment in the lower retina. A diagnosis of peripheral choroidal melanoma was confirmed by additional test results. Because the tumor size was large and no systemic metastasis was found, we recommended enucleation. However, the patient refused and requested only to be followed without treatment. Seven months later, the tumor showed extraocular extensions through the sclera into subconjunctival space and she finally agreed to undergo enucleation. Histopathologic findings showed that the tumor was a mixed cell malignant melanoma of the choroid. The eye was filled with tumor cells, and the tumor had massive extraocular extensions into the orbit through the sclera and scleral emissarium vessels. The intraocular tumor was markedly necrotic, which indicated rapid growth. Choroidal melanomas can increase quickly in size resulting in extraocular extensions through the sclera.Keywords: choroidal melanoma, extraocular extension, pathologyKimura MOgata NShima CTakahashi KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 2081-2084 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kimura M Ogata N Shima C Takahashi K Choroidal melanoma with massive extraocular extensions through sclera
description	Motoki Kimura,1 Nahoko Ogata,2 Chieko Shima,3 Kanji Takahashi,41Departments of Ophthalmology, Kansai Medical University, Kouri Hospital, Osaka, 2Nara Medical University, Nara, 3Osaka Saisekai Noe Hospital, Imperial Gift Foundation Inc, Osaka, 4Kansai Medical University, Hirakata Hospital, Osaka, JapanAbstract: We report a case of choroidal melanoma with massive extraocular extensions through the sclera. A 64-year-old woman reported blurred vision in her right eye. At the first visit, visual acuity was 10/20 OD. An ophthalmological examination revealed a raised choroidal mass and exudative retinal detachment in the lower retina. A diagnosis of peripheral choroidal melanoma was confirmed by additional test results. Because the tumor size was large and no systemic metastasis was found, we recommended enucleation. However, the patient refused and requested only to be followed without treatment. Seven months later, the tumor showed extraocular extensions through the sclera into subconjunctival space and she finally agreed to undergo enucleation. Histopathologic findings showed that the tumor was a mixed cell malignant melanoma of the choroid. The eye was filled with tumor cells, and the tumor had massive extraocular extensions into the orbit through the sclera and scleral emissarium vessels. The intraocular tumor was markedly necrotic, which indicated rapid growth. Choroidal melanomas can increase quickly in size resulting in extraocular extensions through the sclera.Keywords: choroidal melanoma, extraocular extension, pathology
format	article
author	Kimura M Ogata N Shima C Takahashi K
author_facet	Kimura M Ogata N Shima C Takahashi K
author_sort	Kimura M
title	Choroidal melanoma with massive extraocular extensions through sclera
title_short	Choroidal melanoma with massive extraocular extensions through sclera
title_full	Choroidal melanoma with massive extraocular extensions through sclera
title_fullStr	Choroidal melanoma with massive extraocular extensions through sclera
title_full_unstemmed	Choroidal melanoma with massive extraocular extensions through sclera
title_sort	choroidal melanoma with massive extraocular extensions through sclera
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/e75f12d091664265b45060d66b6de86b
work_keys_str_mv	AT kimuram choroidalmelanomawithmassiveextraocularextensionsthroughsclera AT ogatan choroidalmelanomawithmassiveextraocularextensionsthroughsclera AT shimac choroidalmelanomawithmassiveextraocularextensionsthroughsclera AT takahashik choroidalmelanomawithmassiveextraocularextensionsthroughsclera
_version_	1718398515441303552

Choroidal melanoma with massive extraocular extensions through sclera

Ejemplares similares