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Extrascleral Spread of Choroidal Melanoma via Tantalum Marker Suture Track

Extrascleral Spread of Choroidal Melanoma via Tantalum Marker Suture Track Letters 8. Jakobiec FA, Pineda R, Rivera R, Hsu-Winges C, Cherwek D. Epicorneal medial palpebral conjunctiva probably stems from the polypoidal lipodermoid: lack of association of central corneal lesions with embryologic origin of the normal caruncle from this topo- Goldenhar syndrome verified with a review of the literature. Surv Ophthalmol. 4,5 graphic site. 2010;55(1):78-84. The major differential diagnostic consideration is a solid caruncular dermoid, which is also present at birth. There is only 1 persuasive caruncular dermoid in the ophthalmic literature, Extrascleral Spread of Choroidal Melanoma via and it adhered to the superomedial eyelid margin (where colo- Tantalum Marker Suture Track 7,8 bomas may also occur with dermoids ). In contrast, abnor- Proton beam irradiation allows globe-sparing treatment of mal caruncular lesions always involve the lower eyelid. The uveal melanoma with excellent local control rates. Recur- caruncular dermoid was distinguishable from remnants of the rence after radiotherapy is low, ranging from 2% to 5%. Treat- normal caruncle; our patient’s megacaruncle completely oc- ment first requires delineation of the tumor by placement of cupied the locus destined for a normal caruncle. Microscopi- tantalum markers that are sutured to the sclera. We report a cally, the caruncular dermoid possessed a keratinizing http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Extrascleral Spread of Choroidal Melanoma via Tantalum Marker Suture Track

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2013.5042
pmid
24091899
Publisher site
See Article on Publisher Site

Abstract

Letters 8. Jakobiec FA, Pineda R, Rivera R, Hsu-Winges C, Cherwek D. Epicorneal medial palpebral conjunctiva probably stems from the polypoidal lipodermoid: lack of association of central corneal lesions with embryologic origin of the normal caruncle from this topo- Goldenhar syndrome verified with a review of the literature. Surv Ophthalmol. 4,5 graphic site. 2010;55(1):78-84. The major differential diagnostic consideration is a solid caruncular dermoid, which is also present at birth. There is only 1 persuasive caruncular dermoid in the ophthalmic literature, Extrascleral Spread of Choroidal Melanoma via and it adhered to the superomedial eyelid margin (where colo- Tantalum Marker Suture Track 7,8 bomas may also occur with dermoids ). In contrast, abnor- Proton beam irradiation allows globe-sparing treatment of mal caruncular lesions always involve the lower eyelid. The uveal melanoma with excellent local control rates. Recur- caruncular dermoid was distinguishable from remnants of the rence after radiotherapy is low, ranging from 2% to 5%. Treat- normal caruncle; our patient’s megacaruncle completely oc- ment first requires delineation of the tumor by placement of cupied the locus destined for a normal caruncle. Microscopi- tantalum markers that are sutured to the sclera. We report a cally, the caruncular dermoid possessed a keratinizing

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Dec 1, 2013

References