Abstract:
PURPOSE:To illustrate some management problems with pigmented iris tumors. METHODS:This is a retrospective analysis of 234 iris tumors managed by one of the authors. Five patients were selected whose clinical course and pathologic data illustrate diagnostic problems that can occur with these tumors. RESULTS:In the patients described, diagnostic problems were noted. In two patients, glaucoma specialists were unable to correctly diagnose an iris melanoma before filtration. One patient had a 3-clock-hour iris biopsy that was not diagnostic for malignancy, yet the enucleated eye showed melanoma. One patient with a clinically stable iris tumor had a mixed-cell melanoma. CONCLUSIONS:Most iris-pigmented tumors have a benign disease course. In some case, despite little clinical evidence of disease activity or progression, a melanoma, often with epithelioid cells, may be present and neither a fine-needle nor an open biopsy is always diagnostic.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Char DH,Crawford JB,Kroll Sdoi
10.1016/s0161-6420(96)30708-2subject
Has Abstractpub_date
1996-02-01 00:00:00pages
251-5issue
2eissn
0161-6420issn
1549-4713pii
S0161-6420(96)30708-2journal_volume
103pub_type
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