Rare choroidal tumour simulating a malignant melanoma.
A 15-year-old boy had been treated for a central chorioretinitis of his right eye. The other eye had always been normal. Two years later he presented a relapse with deterioration of central visual acuity. All clinical tests, including fluorescein angiography, suggested an inflammatory process this time again. Thereafter, the patient did not show up for 6 years. Then he came to hospital because of strong pains in his right eye. Now, a blind and inflamed eye was found with a huge tumour from the optic nerve extending to the temporal periphery. All clinical investigations, amongst others ultrasonography, computerized tomography and magnetic resonance tomography, suggested a choroidal melanoma with extrabulbar extension. An enucleation with partial exenteration was performed. A demonstration and discussion of the clinical findings and the rare and complicated histological diagnosis of a very unusual ectopic meningioma-like lesion are given.
Strempel
I
I
Universitäts-Augenklinik und Poliklinik, Marburg, BRD.
D000293:Adolescent; D014408:Biomarkers, Tumor / Q000032:analysis; D002829:Choroid / Q000473:pathology*; D002830:Choroid Neoplasms / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D002479:Inclusion Bodies / Q000648:ultrastructure; D008297:Male; D008545:Melanoma / Q000473:pathology*; D008577:Meningeal Neoplasms / Q000473:pathology*; D008579:Meningioma / Q000473:pathology*
D014408:Biomarkers, Tumor