Primary uveal melanoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Gradual deterioration of left eye vision

Patient Data

Age: 40
Gender: Male
Modality: MRI

Well defined sharply marginated fungating soft tissue lesion arising from the uveal coating of the superior quadrant of the left eye globe. It displays bright signal on T1, low signal on T2 with avid enhancement on post contrast study. No extra ocular extension and with clear retro orbital fat.

Modality: Ultrasound

Ocular ultrasound reveals a well defined soft tissue choroidal mass with moderate echogenicity and internal vascularity.

Case Discussion

MRI signal intensities are characteristic of primary uveal melanoma. US with Doppler integration show the characteristic mushroom shape fungating mass with internal vascularity.

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Case Information

rID: 37233
Case created: 29th May 2015
Last edited: 15th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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