Case Study: May 2013

History

  • White male – 50 years old
  • Visual field defect-left eye
  • Mass found in eye-suspected to be uveal melanoma
  • Eye enucleated
  • Fig 1 and 2 – mass
  • Fig 3 – episclera
  • Fig 4 – Iris
  • Fig 5 – ciliary body
  • Fig 6 – choroid

Questions

  1. What is the mass in Fig 1 and 2?
  2. What do Figs 3 to 6 display?
  3. What is the overall interpretation?
Click to show answers
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  1. Uveal melanoma
  2. There is a melanocytosis of the episclera and uveal tract (remember the patient was white). The skin was normal
  3. Uveal melanocytosis with uveal melanoma. Uveal melanocytosis is said to be a risk factor for uveal melanoma