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Iris Ring Melanoma Presenting as Scleral Pigmentation

To report a patient with a very rare variant of iris melanoma that grows in the shape of a ring (ring melanoma). A 65-year-old patient was examined because of a pigmented lesion on the sclera. After a complete ophthalmic and ultrasound examination, a ring melanoma was diagnosed. Enucleation of the a...

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Autores principales: Zupan, Matej, Lavrič, Alenka, Pižem, Jože, Andrejčič, Katrina Novak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273431/
https://www.ncbi.nlm.nih.gov/pubmed/35832837
http://dx.doi.org/10.1155/2022/4840380
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author Zupan, Matej
Lavrič, Alenka
Pižem, Jože
Andrejčič, Katrina Novak
author_facet Zupan, Matej
Lavrič, Alenka
Pižem, Jože
Andrejčič, Katrina Novak
author_sort Zupan, Matej
collection PubMed
description To report a patient with a very rare variant of iris melanoma that grows in the shape of a ring (ring melanoma). A 65-year-old patient was examined because of a pigmented lesion on the sclera. After a complete ophthalmic and ultrasound examination, a ring melanoma was diagnosed. Enucleation of the affected eye was performed, and histology report confirmed iris ring melanoma. This type of malignancy represents an exceedingly rare variant of uveal melanoma, and because of atypical clinical picture, it can be easily overlooked or misdiagnosed, which often delays adequate treatment. Gonioscopy, transillumination, and ultrasound help us to recognize and diagnose ring melanoma. Suspicion should be raised with a clinical picture that shows unilateral pigmentary glaucoma. The objective of this presentation is to describe and outline the challenging diagnosis and management of this rare disease entity.
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spelling pubmed-92734312022-07-12 Iris Ring Melanoma Presenting as Scleral Pigmentation Zupan, Matej Lavrič, Alenka Pižem, Jože Andrejčič, Katrina Novak Case Rep Ophthalmol Med Case Report To report a patient with a very rare variant of iris melanoma that grows in the shape of a ring (ring melanoma). A 65-year-old patient was examined because of a pigmented lesion on the sclera. After a complete ophthalmic and ultrasound examination, a ring melanoma was diagnosed. Enucleation of the affected eye was performed, and histology report confirmed iris ring melanoma. This type of malignancy represents an exceedingly rare variant of uveal melanoma, and because of atypical clinical picture, it can be easily overlooked or misdiagnosed, which often delays adequate treatment. Gonioscopy, transillumination, and ultrasound help us to recognize and diagnose ring melanoma. Suspicion should be raised with a clinical picture that shows unilateral pigmentary glaucoma. The objective of this presentation is to describe and outline the challenging diagnosis and management of this rare disease entity. Hindawi 2022-07-04 /pmc/articles/PMC9273431/ /pubmed/35832837 http://dx.doi.org/10.1155/2022/4840380 Text en Copyright © 2022 Matej Zupan et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zupan, Matej
Lavrič, Alenka
Pižem, Jože
Andrejčič, Katrina Novak
Iris Ring Melanoma Presenting as Scleral Pigmentation
title Iris Ring Melanoma Presenting as Scleral Pigmentation
title_full Iris Ring Melanoma Presenting as Scleral Pigmentation
title_fullStr Iris Ring Melanoma Presenting as Scleral Pigmentation
title_full_unstemmed Iris Ring Melanoma Presenting as Scleral Pigmentation
title_short Iris Ring Melanoma Presenting as Scleral Pigmentation
title_sort iris ring melanoma presenting as scleral pigmentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273431/
https://www.ncbi.nlm.nih.gov/pubmed/35832837
http://dx.doi.org/10.1155/2022/4840380
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