Skip to main content
Log in

B-mode echography of choroidal melanoma; echographic and histological aspects of choroidal excavation

  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

The B-mode images of 32 patients affected with a malignant melanoma of the choroid were studied, in particular with respect to choroidal excavation. The degree of visibility of choroidal excavation at the B-scan was compared with the thickness of the choroid, scleral invasion, vascularisation, retinal detachment and the reflectivity of the tumour. Non of these histological and echographical features appeared to be significantly related to the degree of the visibility of choroidal excavation. Also the condition of the choroid was studied. At examination of all the histological sections no choroid was found between tumour and sclera. This implies that choroidal excavation should be visible at echograms in every case instead of only in 75% of the cases as was found for our series.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Baum G. Ultrasonographic characteristics of malignant melanoma. Arch Ophthalmol 1967; 78: 12–5.

    Google Scholar 

  2. Coleman DJ. Reliability of ocular and orbital diagnosis with B-scan ultrasound. Am J Ophthalmol 1972; 73: 501–16.

    Google Scholar 

  3. Coleman DJ, Abramson DH, Jack RL, Franzen LA. Ultrasonic diagnosis of tumors of the choroid. Arch Ophthalmol 1974; 91: 344–54.

    Google Scholar 

  4. Coleman DJ. Ocular patterns. In: Francois J, Goes F (eds) Ultrasonography in Ophthalmology. Bibl Ophthalmol, Karger, 1975; 83: 136–40.

  5. Coleman DJ, Rondeau MJ, Silverman RH, Lizzi FL. Computerized ultrasonic biometry and imaging of the intraocular tumors for the monitoring of therapy. Tr Am Ophthalmol Soc 1987; 85: 49–81.

    Google Scholar 

  6. Fuller DG, Snyder WB, Hutton WL, Vaiser A. Ultrasonographic features of choroidal malignant melanomas. Arch Ophthalmol 1979; 97: 1465–72.

    Google Scholar 

  7. Green RL. Echographic diagnosis of large choroidal melanomas. In: Hillman JS, Lemay MM (eds) Ophthalmic Ultrasonography. Dr. W. Junk Publishers, The Hague, pp 15–20, 1983.

    Google Scholar 

  8. Hodes BL, Choromokos E. Standarized A-scan echographic diagnosis of choroidal malignant melanomas. Arch Ophthalmol 1977; 95: 593–7.

    Google Scholar 

  9. Hodes BL. Ultrasonographic diagnosis of choroidal malignant melanoma. Surv Ophthalmol 1977; 22: 29–40.

    Google Scholar 

  10. Manschot WA. The relation between histopathology and ultrasonography in intra-ocular tumours. In: Thijssen JM, Verbeek AM (eds) Ultrasonography in Ophthalmology. Dr. W. Junk Publishers, The Hague, pp 71–84, 1981.

    Google Scholar 

  11. Ossoinig KC, Bigar F, Keafring SL. Malignant melanoma of the choroid and ciliary body. In: Francois J, Goes F (eds) Ultrasonography in Ophthalmology. Bibl Ophthalmol, Karger 1975; 83: 141–54.

  12. Ossoinig KC. Standardized ophthalmic echography of the eye, orbit and peri-orbital region. Iowa City: Goodfellow Company 1985; Third edition.

    Google Scholar 

  13. Poujol J, Le Roy M. Echographic modifications of the choroid in its tumours and pseudo-tumours. In: Hillman JS, Le May MM (eds) Ophthalmic Ultrasonography. Dr. W. Junk Publishers, The Hague, pp 57–62, 1983.

    Google Scholar 

  14. Poujol L, Chaintron MC. Analysis of a recent series (254 cases) of choroidal tumors. In: Thijssen JM et al. (eds) Ultrasonography in Ophthalmology. Kluwer Academic Publishers, Dordrecht 1986; pp 157–64.

    Google Scholar 

  15. Rochels R, Nover A, Neumann Th, Adam F. Echographic examinations on 110 histologically proven intra-ocular melanomas. In: Lommatzsch PK, Blodi FC (eds) Intraocular Tumors. Akad Verlag, Berlin, pp 176–82, 1983.

    Google Scholar 

  16. Till P. Solid tissue model for the standardization of the echo-ophthalmograph 7200 MA (Kretztechnik). Doc Ophthalmol 1976; 41: 205–40.

    Google Scholar 

  17. Trier HG, Lepper RD. Tissue characterization in ophthalmology. In: Thijssen JM, Nicholas D (eds) Ultrasonic Tissue Characterisation. Nijhoff, The Hague, pp 74–84, 1982.

    Google Scholar 

  18. Verbeek AM. Differential diagnosis of intraocular neoplasms with ultrasonography. Ultrasound in Med and Biol 1985; 11: 163–70.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

van Gool, C.A.M., Thijssen, J.M. & Verbeek, A.M. B-mode echography of choroidal melanoma; echographic and histological aspects of choroidal excavation. Int Ophthalmol 15, 327–334 (1991). https://doi.org/10.1007/BF00128952

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00128952

Key words

Navigation