Uveal Melanoma Cell Seeding after Transretinal Tumor Biopsy?

Ocul Oncol Pathol

Department of Ophthalmology, University of Cologne, Cologne, Germany.

Published: September 2017

Background/aims: To report a case and the histopathology of uveal melanoma cell seeding following transretinal tumor biopsy for a suspected uveal lesion.

Methods: Interventional case report.

Results: A 66-year-old male presented with a pigmented perilimbal episcleral lesion overlying an intraocular mass at the pars plana, 3.5 years after transretinal biopsy and ruthenium plaque brachytherapy for a choroidal melanoma at the posterior pole. The patient underwent enucleation of the eye. Histopathology confirmed a recurrence of uveal melanoma with intra- and extrascleral tumor portions. Serial sections revealed the posterior border of this newfound pars plana melanoma separated from the radiation scar by a viable and tumor-free choroidal area, thus failing to establish a continuity between secondary and primary tumor.

Conclusion: Transretinal tumor biopsy is of high diagnostic and prognostic value in the management of uveal lesions, but also bears the potential risk for tumor cell seeding.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649331PMC
http://dx.doi.org/10.1159/000453360DOI Listing

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