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Choroidal melanoma with secondary glaucoma.

Sanjay Kumar Daulat Thakur1, Shatrughan Prasad Sah, Khem Raj Kaini

  • 1Department of Ophthalmology, BP Koirala Institute of Health Sciences, Dharan, Nepal. skdthakur@yahoo.com

The Southeast Asian Journal of Tropical Medicine and Public Health
|September 16, 2003
PubMed
Summary

A rare case of choroidal melanoma in a non-white patient presented with secondary glaucoma and liver metastasis. This spindle cell melanoma highlights uncommon clinical presentations and metastatic potential.

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Area of Science:

  • Ophthalmology
  • Oncology
  • Pathology

Background:

  • Choroidal melanoma is a primary intraocular malignancy.
  • Secondary glaucoma can be a presenting sign of choroidal melanoma.
  • Spindle cell melanoma is a specific histopathological subtype.

Observation:

  • A 40-year-old female patient presented with a painful, blind right eye.
  • Ocular examination revealed a large choroidal tumor (2 x 2.1 x 1.5 cm).
  • Ultrasonography detected liver metastasis.

Findings:

  • Histopathology confirmed the choroidal tumor as spindle cell (spindle A) melanoma.
  • The patient's non-white race is a rare demographic for this tumor type.
  • Secondary glaucoma was an uncommon presenting feature.

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Implications:

  • This case underscores the importance of considering choroidal melanoma in atypical presentations.
  • Early detection of metastasis is crucial for patient management.
  • Understanding rare tumor variants and their presentations aids clinical diagnosis.