Case #2 Malignant Melanoma of the Choroid

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History

This 64-year old man was noted, during a routine eye examination, to have an elevated pigmented lesion in the left eye.

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Question #1

When evaluating the patient's medical history, what specific questions would you ask the patient?

Question #2

Describe the clinical appearance of the lesion.

Question #3

What diagnostic tests would you order?

Question #4

What is you differential diagnosis?

Question #5

What treatment options are available?

References

Duane TD & Jaeger EA (ed): In Clinical Ophthalmology, Vol. 4, Chpt. 67; Shields JA: Tumors of the uveal tract. Harper & Row, Publishers, 1987.

Gass JDM: Differential diagnosis of intraocular tumors. CV Mosby Co., 1974.

last updated: 10/10/2011