63 male relatively healthy for age. No vision loss noticed p | Figure 1

itssarcoidosis

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63 male relatively healthy for age. No vision loss noticed per pt. OD is clear and healthy. 11x10 mm solid pigmented choroidal lesion. 4 mm raised. Bscan shows low to mod internal reflectivity. Negative fluid/heme/orange pigment. Large nevus vs small melanoma. Thoughts? Patient sent for melanoma eval, as we do not treat them.

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Intraocular mass centered on posterior choroid. Histology shows mitotically active lesion with mixed epithelial and spindle cell morphology. Note the prominent macronucleoli. Focal areas of pigment formation were seen. MelA stain is positive, confirmatory of #uveal-melanoma

update from previous post. OCT and B-scan of choroidal #Melanoma. Oct shows overlying fluid and bscan shows 3.3mm thickness.

choroidal melanoma. Orange arrow is mushroom shaped lesion, blue is cornea

eye removed for choroidal #Melanoma. We sent it out to a specialist so I won't know the gross or microscopic findings

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