Malignant choroidal melanoma with suspected vitreous seeding - A case report

Wen-Hsin Cheng; Cheng-Hsien Chang; Hsien-Chung Lin; Ya-Chi Chen; Chun-Chieh Wu

doi:10.4103/tjo.tjo_37_17

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CASE REPORT

Year : 2017 | Volume : 7 | Issue : 3 | Page : 168-171

Malignant choroidal melanoma with suspected vitreous seeding - A case report

Wen-Hsin Cheng¹, Cheng-Hsien Chang², Hsien-Chung Lin³, Ya-Chi Chen⁴, Chun-Chieh Wu⁵
¹ Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
² Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University; School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
³ Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University; Department of Ophthalmology, Yuan's General Hospital, Kaohsiung, Taiwan
⁴ Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University; Departsment of Ophthalmology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
⁵ Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Correspondence Address:
Cheng-Hsien Chang
Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Road, Sanmin, Kaohsiung 807
Taiwan

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_37_17

Retinal perforation with vitreous seeding is an uncommon condition of treatment-naïve choroidal malignant melanoma. We reported a 52-year-old male who had a pigmented tumor protruding from choroid of his right eye. He had only black shadow sensation for 4 months then a rapid deterioration of vision. Fundus examination showed vitreous haze with many pigmented materials. B-scan ultrasonography revealed a mass with low internal reflectivity and vitreous opacity. The eyeball was enucleated and a stage IIIA melanoma was confirmed by the pathologist. No local recurrences or metastases were found during 31-month follow-up. Although vitreous seeding may indicate rapid tumor growth, early enucleation may insure a better prognosis.

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