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Implantation and Evaluation of Melanoma in the Murine Choroid via Optical Coherence Tomography
Published on: December 2, 2022
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Congenital uveal melanoma?
Arun D Singh1, Lynn A Schoenfield2, Boris C Bastian3
1Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland, Ohio, USA.
Survey of Ophthalmology
|August 17, 2015
Summary
This case presents a rare infant uveal melanoma with extraocular extension. Genetic analysis did not identify known mutations, suggesting a novel melanocytic proliferation.
Area of Science:
- Ophthalmology
- Oncology
- Genetics
Background:
- Uveal melanoma is rare in infants.
- Early diagnosis and treatment are crucial for prognosis.
Observation:
- A 3-month-old infant presented with left eye discoloration and enlargement.
- Examination revealed hyperchromic heterochromia, enlarged cornea, and a large ciliochoroidal pigmented mass.
- The diagnosis was diffuse uveal melanoma with extraocular extension.
Findings:
- The infant's tumor showed no mutations in key genes (BAP1, BRAF, NRAS, GNAQ, Kit).
- Germline BAP1 mutation was also absent.
- No metastases were detected during 5 years of follow-up.
Implications:
- This case may represent a previously unidentified uveal melanocytic proliferation.
- Further research is needed to understand the pathogenesis of such rare infant tumors.
- Genetic analysis is essential for accurate diagnosis and understanding of uveal melanoma variants.
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