Tapioca Melanoma of the Iris: A Case Report

PURPOSE: To report an extremely rare case of tapioca melanoma of the iris in an Iranian patient. CASE REPORT: A 50-year-old male patient presented with ocular pain and redness in the right eye for two weeks. The visual acuity was 7/10 and the intraocular pressure (IOP) was 30 mmHg. A lobulated amela...

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Detalles Bibliográficos
Autores principales: Karimi, Saeed, Pahlevani, Pouyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PUBLISHED BY KNOWLEDGE E 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815328/
https://www.ncbi.nlm.nih.gov/pubmed/31660116
http://dx.doi.org/10.18502/jovr.v14i3.4794
Descripción
Sumario:PURPOSE: To report an extremely rare case of tapioca melanoma of the iris in an Iranian patient. CASE REPORT: A 50-year-old male patient presented with ocular pain and redness in the right eye for two weeks. The visual acuity was 7/10 and the intraocular pressure (IOP) was 30 mmHg. A lobulated amelanotic vascularized and nodular (tapioca-like) iris mass with a 180 [Formula: see text] extent was seen in the right eye. Incisional biopsy of the mass revealed atypical mixed type (epithelioid and spindle cell) melanoma. Brachytherapy with the ruthenium-106 plaque resulted in complete regression of the tumor. CONCLUSION: Tapioca melanoma of the iris should be considered in the differential diagnosis of patients presenting with nodular vascularized amelanotic iris mass and elevated IOP. Brachytherapy with ruthenium-106 seems to be an effective treatment for tapioca melanoma of the iris.

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