Sequential Bilateral Choroidal Malignant Melanoma With Unique BAP1 Positivity Managed With Iodine-125 Plaque Radiotherapy.

IF 1.1 4区 医学 Q4 OPHTHALMOLOGY
Ecem Üstündas Uzun, Gonul Kemikler, Carol L Shields, Orkun Gurbuz, Demet Akdeniz Odemis, Samuray Tuncer
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引用次数: 0

Abstract

Uveal melanomas are almost always unilateral. Bilateral presentation is extremely rare, about 1 in 80 million/year. This report presents the case of a 40-year-old man who developed bilateral choroidal melanoma sequentially. The right eye with a de novo juxtapapillary choroidal melanoma was managed with 18-mm notched I125 plaque with full distribution. Eighteen months later, transformation of a choroidal nevus into a melanoma was detected in the fellow eye, and was treated with 12-mm round I125 plaque with full distribution. The patient tested positive for BAP1 germline mutation (c.659+1G >A p.?; rs2153227622). After three years of follow-up, both tumors were regressed and the patient was receiving immunotherapy for related liver metastasis.

具有独特BAP1阳性的序贯双侧脉络膜恶性黑色素瘤用碘-125斑块放疗治疗。
葡萄膜黑色素瘤几乎都是单侧的。双侧表现极为罕见,约为8千万分之一/年。本报告提出的情况下,40岁的男子谁发展双侧脉络膜黑色素瘤顺序。右眼新生乳头旁脉络膜黑色素瘤采用全分布的18mm缺口I125斑块进行治疗。18个月后,在另一只眼睛中检测到脉膜痣向黑色素瘤的转变,并使用完全分布的12毫米圆形I125斑块治疗。患者BAP1种系突变检测呈阳性(c.659+1G >A p.?; rs2153227622)。经过3年的随访,两例肿瘤均消退,患者正在接受相关肝转移的免疫治疗。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
89
期刊介绍: OSLI Retina focuses exclusively on retinal diseases, surgery and pharmacotherapy. OSLI Retina will offer an expedited submission to publication effort of peer-reviewed clinical science and case report articles. The front of the journal offers practical clinical and practice management features and columns specific to retina specialists. In sum, readers will find important peer-reviewed retina articles and the latest findings in techniques and science, as well as informative business and practice management features in one journal.
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