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Br J Ophthalmol 1997;81:513 doi:10.1136/bjo.81.6.513f
  • Letter to the Editor

Pseudocystic ultrasound appearance of choroidal melanoma

  1. IAN A PEARCE,
  2. P A SMITH,
  3. B E DAMATO
  1. St Paul’s Eye Unit, 8Z Link
  2. Royal Liverpool University Hospital, Liverpool
    • Accepted 12 February 1997

    Editor,—Ultrasonography is useful in the diagnosis, treatment, planning, and monitoring of intraocular tumours. An important step in the diagnostic process is the differentiation between solid and cystic tumours. Uveal melanomas are usually solid but may rarely be cystic (W R Lee, personal communication). Cases have been reported in which pseudocystic appearances on ultrasonography have been due to haemorrhage or necrosis.1-3 We report a patient who appeared to have a cystic tumour on B-scan ultrasonography, which was shown on histology to be due to a very lightly pigmented nodule in a deeply pigmented melanoma.

    CASE REPORT

    The patient, a 56-year-old Asian man, was referred to St Paul’s Eye Unit from …

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