A rare case of choroidal melanoma with a lump in the nape of neck
DAS, B., DAS, D., KURI, G., DEKA, A. (2025). A rare case of choroidal melanoma with a lump in the nape of neck. EKB Journal Management System, 7(2), 304-309. doi: 10.21608/jmals.2025.371935.1045
BIDHAN CHANDRA DAS; DIPANKAR DAS; GANESH KURI; APURBA DEKA. "A rare case of choroidal melanoma with a lump in the nape of neck". EKB Journal Management System, 7, 2, 2025, 304-309. doi: 10.21608/jmals.2025.371935.1045
DAS, B., DAS, D., KURI, G., DEKA, A. (2025). 'A rare case of choroidal melanoma with a lump in the nape of neck', EKB Journal Management System, 7(2), pp. 304-309. doi: 10.21608/jmals.2025.371935.1045
DAS, B., DAS, D., KURI, G., DEKA, A. A rare case of choroidal melanoma with a lump in the nape of neck. EKB Journal Management System, 2025; 7(2): 304-309. doi: 10.21608/jmals.2025.371935.1045

A rare case of choroidal melanoma with a lump in the nape of neck

Journal of Medical and Life Science
Volume 7, Issue 2, June 2025, Page 304-309  XML PDF (531.75 K)
Document Type: Original Article
DOI: 10.21608/jmals.2025.371935.1045
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Authors
BIDHAN CHANDRA DAS email orcid 1; DIPANKAR DAS1; GANESH KURI2; APURBA DEKA1
1Sri Sankaradeva Nethralaya, Guwahati, Assam, India
2SRi Sankaradeva Nethralaya, Guwahati, Assam, India
Abstract
A 70-year-old man reported a gradual decline in vision in his left eye over the past four months. Upon slit-lamp examination, the left eye showed a sluggish pupillary response to light, a posterior subcapsular cataract, and a pigmented choroidal mass. Due to the presence of the choroidal mass, enucleation with placement of a silicone ball implant was recommended. Histopathological analysis of the eye revealed a choroidal malignant melanoma of the mixed cell type, extending into the ciliary body. It is important to distinguish melanomas from benign pigmented lesions such as choroidal nevi, congenital hypertrophy of the retinal pigment epithelium, and choroidal hemorrhages. Some choroidal nevi can closely resemble small melanomas, making diagnosis challenging. When ocular melanoma metastasizes, the five-year survival rate drops to around 15%. The somatic mutations and prognosis associated with intraocular melanoma differ significantly from those of cutaneous melanoma. The presence of choroidal melanoma alongside a lump in the nape of the neck is an extremely rare finding in ophthalmic pathology.
Keywords
Choroid; intraocular; malignant melanoma
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