Iris melanomas. Diagnostic problems.

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

Ophthalmology

journal_title

Ophthalmology

authors

Char DH,Crawford JB,Kroll S

doi

10.1016/s0161-6420(96)30708-2

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

251-5

issue

2

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(96)30708-2

journal_volume

103

pub_type

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