A Case of Choroidal Melanocytoma Mimicking a Choroidal Melanoma

Overview

Journal Saudi J Ophthalmol

Specialty Ophthalmology

Date 2015 Jul 9

PMID 26155089

Citations 4

Authors

Syed Shoeb Ahmad

Lalit Lad

Shuaibah Abdul Ghani

Affiliations

Soon will be listed here.

Abstract

A 17-year-old young girl was seen by us with complaints of progressive, painless decreasing vision in one eye for the last 4 years. No other supporting history could be elucidated. On examination, a large choroidal mass was found. Since the features were suggestive of malignant melanoma of the choroid, an enucleation of the eye was performed. Subsequently, histopathological examination of the enucleated eye revealed findings consistent with melanocytoma of the choroid. This case is unique in that the patient was of relatively young age and the tumor was huge compared to previous such reports.

Citing Articles

A case of choroidal melanocytoma treated by transscleral resection: A clinicopathological study.

Mitamura M, Kase S, Suimon Y, Kanno-Okada H, Ishida S Am J Ophthalmol Case Rep. 2024; 34:102043.

PMID: 38584718 PMC: 10997995. DOI: 10.1016/j.ajoc.2024.102043.

Diagnostic methods and therapeutic options of uveal melanoma with emphasis on MR imaging-Part I: MR imaging with pathologic correlation and technical considerations.

Foti P, Travali M, Farina R, Palmucci S, Spatola C, Raffaele L Insights Imaging. 2021; 12(1):66.

PMID: 34080069 PMC: 8172816. DOI: 10.1186/s13244-021-01000-x.

Large Choroidal Melanocytoma Simulating Choroidal Melanoma: A Difficult Differential Diagnosis and an Inevitable Enucleation.

Abdellaoui T, Belfaiza S, Malek Y, Essaoudi M, Elasri F, Reda K Case Rep Ophthalmol Med. 2020; 2020:8890857.

PMID: 33294243 PMC: 7700045. DOI: 10.1155/2020/8890857.

Two Cases of Giant Melanocytoma (Hyperpigmented Magnocellular Nevus).

Sia D, Agi J, Grewal P, Russell L, Weis E Ocul Oncol Pathol. 2020; 6(5):344-352.

PMID: 33123528 PMC: 7574615. DOI: 10.1159/000507399.

References

Shammas H, Minckler D, HULQUIST R, SHERINS R . Melanocytoma of the ciliary body. Ann Ophthalmol. 1981; 13(12):1381-3. View

Sharma H, Puri L . Melanocytoma of the optic disc - a case report. Nepal J Ophthalmol. 2012; 4(2):323-5. DOI: 10.3126/nepjoph.v4i2.6553. View

Kurli M, Finger P, Manor T, McCormick S, Grossniklaus H . Finding malignant change in a necrotic choroidal melanocytoma: a clinical challenge. Br J Ophthalmol. 2005; 89(7):921-2. PMC: 1772711. DOI: 10.1136/bjo.2004.060038. View

RUBIN M . Disciform lesion overlying melanocytoma simulating progression of choroidal melanoma. Trans Am Ophthalmol Soc. 1977; 74:282-94. PMC: 1311518. View

Lee C, Kim D, Lee S . A case of ciliary body melanocytoma presenting as a painful iris mass. Korean J Ophthalmol. 2010; 24(1):44-6. PMC: 2817824. DOI: 10.3341/kjo.2010.24.1.44. View

Yu S, Ikeda T, Ikeda N, Mimura O, Sato K . Coloration of fundus lesions in bilateral diffuse uveal melanocytic proliferation. Jpn J Ophthalmol. 2003; 47(6):612-5. DOI: 10.1016/j.jjo.2003.09.003. View

Khadem J, Weiter J . Melanocytomas of the optic nerve and uvea. Int Ophthalmol Clin. 1998; 37(4):149-58. DOI: 10.1097/00004397-199703740-00013. View

Awaji S, Alkatan H, Al-Kharashi S, Al-Rajhi A . Iris melanocytoma in child diagnosed by fine needle aspiration biopsy. Saudi J Ophthalmol. 2013; 27(4):277-80. PMC: 3841291. DOI: 10.1016/j.sjopt.2013.07.015. View

Mohamed M, Gupta M, Parsons A, Rennie I . Ultrasound biomicroscopy in the management of melanocytoma of the ciliary body with extrascleral extension. Br J Ophthalmol. 2004; 89(1):14-6. PMC: 1772463. DOI: 10.1136/bjo.2004.048967. View

10.

Haas B, Jakobiec F, Iwamoto T, Cox M, Bernacki E, Pokorny K . Diffuse choroidal melanocytoma in a child. A lesion extending the spectrum of melanocytic hamartomas. Ophthalmology. 1986; 93(12):1632-8. DOI: 10.1016/s0161-6420(86)33519-x. View

11.

Zhang X, Dai R, Chao W, Dong F . Atypical presentations of choroidal melanocytoma. Chin Med J (Engl). 2009; 122(10):1238-40. View

12.

Shields J, Font R . Melanocytoma of the choroid clinically simulating a malignant melanoma. Arch Ophthalmol. 1972; 87(4):396-400. DOI: 10.1001/archopht.1972.01000020398006. View

13.

Odashiro M, Odashiro A, Leite L, Melo M, Odashiro P, Miiji L . Melanocytoma of ciliary body and choroids simulating melanoma. Pathol Res Pract. 2009; 206(2):130-3. DOI: 10.1016/j.prp.2009.03.006. View

14.

Gologorsky D, Schefler A, Ehlies F, Raskauskas P, Pina Y, Williams B . Clinical imaging and high-resolution ultrasonography in melanocytoma management. Clin Ophthalmol. 2010; 4:855-9. PMC: 2921292. DOI: 10.2147/opth.s11891. View

15.

Singh P, Singh A . Choroidal melanoma. Oman J Ophthalmol. 2012; 5(1):3-9. PMC: 3339671. DOI: 10.4103/0974-620X.94718. View

16.

Kim M, Lee S . Melanocytoma of the ciliary body misdiagnosed as iridodialysis. Clin Ophthalmol. 2014; 8:1051-3. PMC: 4049885. DOI: 10.2147/OPTH.S63328. View

17.

Gahankari M, Jehangir R, Bhatti S . Melanocytoma of the optic disc. J Postgrad Med. 1992; 38(3):135-6. View

18.

Raichand M, Peyman G, Juarez C, Seetner A, Sugar J, Goldberg M . Resection of uveal melanocytoma: clinicopathological correlation. Br J Ophthalmol. 1983; 67(4):236-43. PMC: 1040026. DOI: 10.1136/bjo.67.4.236. View

19.

Al-Rashaed S, Abboud E, Nowilaty S . Characteristics of optic disc melanocytomas presenting with visual dysfunction. Middle East Afr J Ophthalmol. 2010; 17(3):242-5. PMC: 2934715. DOI: 10.4103/0974-9233.65488. View

20.

Robertson D, Campbell R, Salomao D . Mushroom-shaped choroidal melanocytoma mimicking malignant melanoma. Arch Ophthalmol. 2002; 120(1):82-5. View