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Case Study: August 2011
History
A 60 year old man, with hypertension and a past history of an intracranial tumour presents with angle closure glaucoma and an intraocular mass.
On examination the eye is blind and painful. The eye is enucleated.
See figures.
Questions
- What are the key features of the choroidal mass?
- What is the differential?
- What is the diagnosis?
Click to show answers
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- Clear cells with a vascular matrix.
- Metastatic clear cell carcinoma (renal, endocrine sites), primary clear cell melanoma and primary haemangioblastoma (in context of possible VHL, given
the patient’s hypertension and previous intracranial mass). - The patient had a renal mass and the diagnosis is metastatic clear cell renal carcinoma.
