Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months

Purpose: To report a case with unusual initial manifestation of uveal melanoma in a 46-year-old adult. Observations: A 46-year-old man demonstrated a mid-peripheral temporal partially hyperpigmented lesion in his left eye. Initial clinical appearance as well as multimodal imaging approaches were sim...

Full description

Bibliographic Details
Main Authors: Olga Furashova, Katrin Engelmann, Antonia M. Joussen, Aline I. Riechardt
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S245199362200264X
_version_ 1818211808809320448
author Olga Furashova
Katrin Engelmann
Antonia M. Joussen
Aline I. Riechardt
author_facet Olga Furashova
Katrin Engelmann
Antonia M. Joussen
Aline I. Riechardt
author_sort Olga Furashova
collection DOAJ
description Purpose: To report a case with unusual initial manifestation of uveal melanoma in a 46-year-old adult. Observations: A 46-year-old man demonstrated a mid-peripheral temporal partially hyperpigmented lesion in his left eye. Initial clinical appearance as well as multimodal imaging approaches were similar to a chorioretinitic disease. Over the course of 9 months, a massive tumor growth and exudative retinal detachment could be observed. The diagnosis of choroidal melanoma was histopathologically confirmed after endoresection. Conclusions and importance: Classical choroidal melanoma manifest as pigmented, prominent tumors with >2 mm tumor thickness, exudative retinal detachment, and orange pigment. In our case, none of these classical clinical characteristic signs of melanoma were present at initial presentation, but the tumor underwent progressive development with significant tumor growth and exudative retinal detachment during the following 9 months.
first_indexed 2024-12-12T05:38:23Z
format Article
id doaj.art-9c101b48c77b4abdb8695b5e1a2cea44
institution Directory Open Access Journal
issn 2451-9936
language English
last_indexed 2024-12-12T05:38:23Z
publishDate 2022-06-01
publisher Elsevier
record_format Article
series American Journal of Ophthalmology Case Reports
spelling doaj.art-9c101b48c77b4abdb8695b5e1a2cea442022-12-22T00:36:01ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101518Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 monthsOlga Furashova0Katrin Engelmann1Antonia M. Joussen2Aline I. Riechardt3Department of Ophthalmology, Klinikum Chemnitz gGmbH, Flemmingstrasse 2, 09116, Chemnitz, Germany; Corresponding author.Department of Ophthalmology, Klinikum Chemnitz gGmbH, Flemmingstrasse 2, 09116, Chemnitz, GermanyDepartment of Ophthalmology, Charité - Universitätsmedizin Berlin, Berlin, GermanyDepartment of Ophthalmology, Charité - Universitätsmedizin Berlin, Berlin, GermanyPurpose: To report a case with unusual initial manifestation of uveal melanoma in a 46-year-old adult. Observations: A 46-year-old man demonstrated a mid-peripheral temporal partially hyperpigmented lesion in his left eye. Initial clinical appearance as well as multimodal imaging approaches were similar to a chorioretinitic disease. Over the course of 9 months, a massive tumor growth and exudative retinal detachment could be observed. The diagnosis of choroidal melanoma was histopathologically confirmed after endoresection. Conclusions and importance: Classical choroidal melanoma manifest as pigmented, prominent tumors with >2 mm tumor thickness, exudative retinal detachment, and orange pigment. In our case, none of these classical clinical characteristic signs of melanoma were present at initial presentation, but the tumor underwent progressive development with significant tumor growth and exudative retinal detachment during the following 9 months.http://www.sciencedirect.com/science/article/pii/S245199362200264XChoroidal melanomaUveal melanomaUnusual manifestationMasquerade syndrome
spellingShingle Olga Furashova
Katrin Engelmann
Antonia M. Joussen
Aline I. Riechardt
Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
American Journal of Ophthalmology Case Reports
Choroidal melanoma
Uveal melanoma
Unusual manifestation
Masquerade syndrome
title Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
title_full Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
title_fullStr Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
title_full_unstemmed Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
title_short Unusual initial manifestation of choroidal melanoma in a 46-year-old adult with rapid growth over 9 months
title_sort unusual initial manifestation of choroidal melanoma in a 46 year old adult with rapid growth over 9 months
topic Choroidal melanoma
Uveal melanoma
Unusual manifestation
Masquerade syndrome
url http://www.sciencedirect.com/science/article/pii/S245199362200264X
work_keys_str_mv AT olgafurashova unusualinitialmanifestationofchoroidalmelanomaina46yearoldadultwithrapidgrowthover9months
AT katrinengelmann unusualinitialmanifestationofchoroidalmelanomaina46yearoldadultwithrapidgrowthover9months
AT antoniamjoussen unusualinitialmanifestationofchoroidalmelanomaina46yearoldadultwithrapidgrowthover9months
AT alineiriechardt unusualinitialmanifestationofchoroidalmelanomaina46yearoldadultwithrapidgrowthover9months