Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Concomitant primary breast carcinoma and primary choroidal melanoma: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Concomitant primary breast carcinoma and primary choroidal melanoma a case report Hari Jayaram Asifa Shaikh and Sundeep Kheterpal Address Prince Charles Eye Unit King Edward VII Hospital St Leonard s Road Windsor SL4 3DP UK Email Hari Jayaram - hari@ Asifa Shaikh - Asifasshaikh@ Sundeep Kheterpal - Corresponding author Published 19 March 2008 Received 16 June 2007 Journal of Medical Case Reports 2008 2 88 doi 1752-1947-2-88 Accepted 19 March 2008 This article is available from http content 2 l 88 2008 Jayaram et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Choroidal melanoma and choroidal metastasis are distinct pathological entities with very different treatments and prognoses. They may be difficult to distinguish to the untrained observer. Case presentation A case of concomitant choroidal melanoma in a woman with primary breast carcinoma is described. The choroidal lesion was thought initially to be a metastasis and treated with external beam radiotherapy. The tumour did not regress but remained stable in size for a period of three years. Following referral to an ophthalmologist the diagnosis was revised after reevaluation of the clinical ultrasonographic and angiographic findings. Conclusion Although metastases are the most common ocular tumour a differential diagnosis of a concurrent primary ocular malignancy should always be considered even in patients with known malignant disease. Thorough ophthalmic evaluation is important as multiple primary malignancies may occur concomitantly. The prognostic and therapeutic implications of .
