Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight
A 56-year-old woman presented with a complaint of painless diminished vision in the right eye for nine months. Best-corrected visual acuity was 20/400 Oclulus Dexter (OD) and 20/20 Oculus Sinister (OS). Ophthalmological examination revealed a prominent solitary, tortuous, dilated episcleral sentinel...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2024-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19039/67055_CE[Ra1]_F(SHU)_QC(SD_RDW_SHU)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdf |
| _version_ | 1797324157028925440 |
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| author | Rakesh Kumar Jha Jaya Kaushik Sunandan Bhatta |
| author_facet | Rakesh Kumar Jha Jaya Kaushik Sunandan Bhatta |
| author_sort | Rakesh Kumar Jha |
| collection | DOAJ |
| description | A 56-year-old woman presented with a complaint of painless diminished vision in the right eye for nine months. Best-corrected visual acuity was 20/400 Oclulus Dexter (OD) and 20/20 Oculus Sinister (OS). Ophthalmological examination revealed a prominent solitary, tortuous, dilated episcleral sentinel vessel in the superonasal aspect of the right eye (white arrow, [Table/Fig-1a]). An undilated examination revealed a normal pupillary area [Table/Fig-1b], but a dilated examination revealed a retrolental dome-shaped dark-brown mass in the superonasal quadrant protruding into the vitreous cavity [Table/Fig-1c]. Ultrasonography revealed a 9 mm acoustically-solid mass in maximum dimension with medium internal reflectivity [Table/Fig-1d]. A diagnosis of ciliochoroidal melanoma was made. A Computed Tomography (CT) scan of the head excluded extraocular extension (yellow arrow, [Table/Fig-1e]). Metastatic work-up, along with radiological imaging, excluded distant metastasis. Given the involvement of the ciliary body (which carries a worse prognosis), the involved eye was enucleated after due counseling with the patient. Subsequent histopathological examination, along with immunohistochemistry analysis of the lesion, revealed it to be a grade III-pT1-stage malignant melanoma with no local invasion. After enucleation, subsequent follow-up examinations for one year excluded any recurrence. |
| first_indexed | 2024-03-08T05:46:08Z |
| format | Article |
| id | doaj.art-dd25e3a9ee8941f286caa517c942927e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-08T05:46:08Z |
| publishDate | 2024-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-dd25e3a9ee8941f286caa517c942927e2024-02-05T09:37:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-02-011802010210.7860/JCDR/2024/67055.19039Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike SightRakesh Kumar Jha0Jaya Kaushik1Sunandan Bhatta2Assistant Professor, Department of Ophthalmology, Command Hospital, Lucknow, Uttar Pradesh, India.Professor, Department of Ophthalmology, Command Hospital, Lucknow, Uttar Pradesh, India.Assistant Professor, Department of Ophthalmology, Military Hospital, Agra, Uttar Pradesh, India.A 56-year-old woman presented with a complaint of painless diminished vision in the right eye for nine months. Best-corrected visual acuity was 20/400 Oclulus Dexter (OD) and 20/20 Oculus Sinister (OS). Ophthalmological examination revealed a prominent solitary, tortuous, dilated episcleral sentinel vessel in the superonasal aspect of the right eye (white arrow, [Table/Fig-1a]). An undilated examination revealed a normal pupillary area [Table/Fig-1b], but a dilated examination revealed a retrolental dome-shaped dark-brown mass in the superonasal quadrant protruding into the vitreous cavity [Table/Fig-1c]. Ultrasonography revealed a 9 mm acoustically-solid mass in maximum dimension with medium internal reflectivity [Table/Fig-1d]. A diagnosis of ciliochoroidal melanoma was made. A Computed Tomography (CT) scan of the head excluded extraocular extension (yellow arrow, [Table/Fig-1e]). Metastatic work-up, along with radiological imaging, excluded distant metastasis. Given the involvement of the ciliary body (which carries a worse prognosis), the involved eye was enucleated after due counseling with the patient. Subsequent histopathological examination, along with immunohistochemistry analysis of the lesion, revealed it to be a grade III-pT1-stage malignant melanoma with no local invasion. After enucleation, subsequent follow-up examinations for one year excluded any recurrence.https://www.jcdr.net/articles/PDF/19039/67055_CE[Ra1]_F(SHU)_QC(SD_RDW_SHU)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdfciliary body melanomamelanomaocular tumour |
| spellingShingle | Rakesh Kumar Jha Jaya Kaushik Sunandan Bhatta Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight Journal of Clinical and Diagnostic Research ciliary body melanoma melanoma ocular tumour |
| title | Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight |
| title_full | Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight |
| title_fullStr | Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight |
| title_full_unstemmed | Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight |
| title_short | Sentinel Vessel Sign: A Shadow of the Subway Storm Setting into Strike Sight |
| title_sort | sentinel vessel sign a shadow of the subway storm setting into strike sight |
| topic | ciliary body melanoma melanoma ocular tumour |
| url | https://www.jcdr.net/articles/PDF/19039/67055_CE[Ra1]_F(SHU)_QC(SD_RDW_SHU)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdf |
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