Advanced ring melanoma of the choroid and ciliary body with extrascleral extension

Introduction: Ring melanoma is a rare form of uveal melanomas that is characterized by circumferential growth pattern. The diagnosis of ring melanomas may be delayed because of their initial hidden location and non-specific symptoms. In addition, ring melanomas may be misdiagnosed and treated as ref...

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Main Authors: Sara Alattar, Sana S. Kroosh
Format: Article
Language:English
Published: AOSIS 2024-01-01
Series:African Vision and Eye Health
Subjects:
Online Access:https://avehjournal.org/index.php/aveh/article/view/857
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author Sara Alattar
Sana S. Kroosh
author_facet Sara Alattar
Sana S. Kroosh
author_sort Sara Alattar
collection DOAJ
description Introduction: Ring melanoma is a rare form of uveal melanomas that is characterized by circumferential growth pattern. The diagnosis of ring melanomas may be delayed because of their initial hidden location and non-specific symptoms. In addition, ring melanomas may be misdiagnosed and treated as refractory glaucoma or retinal detachment because of their atypical presentation. Such tumours are usually large and extensive at the time of diagnosis, thus associated with worse prognosis. Patient presentation: This case report presents a case of a 70-year-old female presenting with blurring of vision of 1 month duration. Examination revealed a pigmented subconjunctival mass just inferior to the lower limbus that the patient reported to appear 1 year before. Dilated fundus and ultrasonographic examination were suggestive of ciliochoroidal melanoma with associated retinal detachment. Management and outcome: The patient underwent enucleation, and histopathology confirmed the diagnosis of ciliochoroidal melanoma of mixed cell type. Conclusion and Contribution: This article aims to report a rare and advanced case of a deadly tumour emphasizing on the importance of routine fundus examination in patients over the age of 40 years.
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spelling doaj.art-5df4be6a963a4eeeb943a381c80a9dcd2024-02-01T12:36:16ZengAOSISAfrican Vision and Eye Health2413-31832410-15162024-01-01831e1e410.4102/aveh.v83i1.857567Advanced ring melanoma of the choroid and ciliary body with extrascleral extensionSara Alattar0Sana S. Kroosh1Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, EgyptDepartment of Pathology, Faculty of Medicine, Assiut University, Assiut, EgyptIntroduction: Ring melanoma is a rare form of uveal melanomas that is characterized by circumferential growth pattern. The diagnosis of ring melanomas may be delayed because of their initial hidden location and non-specific symptoms. In addition, ring melanomas may be misdiagnosed and treated as refractory glaucoma or retinal detachment because of their atypical presentation. Such tumours are usually large and extensive at the time of diagnosis, thus associated with worse prognosis. Patient presentation: This case report presents a case of a 70-year-old female presenting with blurring of vision of 1 month duration. Examination revealed a pigmented subconjunctival mass just inferior to the lower limbus that the patient reported to appear 1 year before. Dilated fundus and ultrasonographic examination were suggestive of ciliochoroidal melanoma with associated retinal detachment. Management and outcome: The patient underwent enucleation, and histopathology confirmed the diagnosis of ciliochoroidal melanoma of mixed cell type. Conclusion and Contribution: This article aims to report a rare and advanced case of a deadly tumour emphasizing on the importance of routine fundus examination in patients over the age of 40 years.https://avehjournal.org/index.php/aveh/article/view/857uvealciliary bodychoroidmalignant melanomaextraocular extension
spellingShingle Sara Alattar
Sana S. Kroosh
Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
African Vision and Eye Health
uveal
ciliary body
choroid
malignant melanoma
extraocular extension
title Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
title_full Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
title_fullStr Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
title_full_unstemmed Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
title_short Advanced ring melanoma of the choroid and ciliary body with extrascleral extension
title_sort advanced ring melanoma of the choroid and ciliary body with extrascleral extension
topic uveal
ciliary body
choroid
malignant melanoma
extraocular extension
url https://avehjournal.org/index.php/aveh/article/view/857
work_keys_str_mv AT saraalattar advancedringmelanomaofthechoroidandciliarybodywithextrascleralextension
AT sanaskroosh advancedringmelanomaofthechoroidandciliarybodywithextrascleralextension