AI Article Synopsis
- - The case involved a 36-year-old female with nevus of Ota who had symptoms like bulging eyes and double vision due to a pigmented epithelioid melanocytoma found in her right eye socket, discovered through MRI imaging.
- - Surgery removed the tumor, revealing it to be heavily pigmented, and further pathological testing confirmed the diagnosis of pigmented epithelioid melanocytoma.
- - After surgery, the patient received radiotherapy which improved her symptoms, and she has remained free of metastasis for 3 years, with this type of tumor generally considered to have a low degree of malignancy.
Article Abstract
The authors report a patient with nevus of Ota (oculodermal melanocytosis) who presented with pigmented epithelioid melanocytoma in the right orbit. A 36-year-old female patient attended with proptosis OD and diplopia for 3 months. MRI disclosed an expansive lesion adhered to the right inferior rectus muscle, enlargement of the superior orbital fissure, and filling of the right cavernous sinus. Excision of the orbital mass through a transconjunctival inferior fornix access disclosed a heavily pigmented lesion. Anatomopathological study revealed a diagnosis of pigmented epithelioid melanocytoma. A positron emission tomography scan did not show any metastasis. The patient was submitted to radiotherapy, had an improvement of the proptosis and diplopia, and showed no distant metastases for 3 years now. Pigmented epithelioid melanocytoma belongs to the group of heavily pigmented neoplasms, as do atypical blue nevus, which is characterized by prominent melanin production and a low degree of malignancy.
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| http://dx.doi.org/10.1097/IOP.0000000000002773 | DOI Listing |
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