Simultaneous bilateral primary choroidal melanoma.
The first published case from Norway of primary bilateral malignant melanoma of the choroid is presented. On the admission of a 73-year-old woman for a choroidal melanoma of the left eye, an asymptomatic tumour was detected in the periphery of her right eye. The left eye was enucleated. Histology confirmed the presence of a choroidal melanoma of the mixed type. After 3 1/2 years with regular follow-ups growth of the asymptomatic tumour was noticed. The fast growth was accompanied by a haemorrhage in the vitreous and a secondary retinal detachment. External radiation with a dose of 33.6 Gy resulted in a regression of the tumour, improvement of visual acuity to 0.5 and re-attachment of the retina, lasting the remaining 8 months of life. Multiple metastasis to the liver caused her death.
Eide
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Department of Ophthalmology, Rikshospitale, University of Oslo, Norway.
D000368:Aged; D002830:Choroid Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000532:radiotherapy; D005260:Female; D006801:Humans; D008545:Melanoma / Q000453:epidemiology / Q000473:pathology / Q000532:radiotherapy; D009664:Norway