Solitary intraocular lymphoma as an initial presentation of widespread disease.
A patient presented with a large peripapillary choroidal mass as the initial manifestation of widespread, poorly differentiated, large cell lymphoma. The choroidal tumor had clinical and ultrasonographic characteristics of a uveal malignant melanoma. A systemic evaluation and fine-needle aspiration biopsy specimens of the abdomen and choroid established the diagnosis of a lymphoma. On rare occasion, other neoplasms can simulate the diagnostic pattern of uveal melanoma, and fine-needle aspiration biopsy can be crucial in establishing the correct diagnosis.
Fredrick
D R
DR
Department of Ophthalmology, Francis I. Proctor Foundation, San Francisco, CA.
Char
D H
DH
Ljung
B M
BM
Brinton
D A
DA
D000008:Abdominal Neoplasms / Q000175:diagnosis / Q000473:pathology; D000368:Aged; D001707:Biopsy, Needle; D002830:Choroid Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008545:Melanoma / Q000175:diagnosis; D014463:Ultrasonography; D014604:Uveal Neoplasms / Q000175:diagnosis