Uveal melanoma history and symptoms: Difference between revisions

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==Overview==
==Overview==
Symptoms of uveal melanoma include [[eye pain]], [[eye]] redness, loss of [[peripheral vision]], poor or [[blurry vision]] in one [[eye]], a dark spot on the [[iris]], seeing flashing lights, floaters, and symptoms of [[glaucoma]].<ref name="pmid23826405">{{cite journal| author=Jovanovic P, Mihajlovic M, Djordjevic-Jocic J, Vlajkovic S, Cekic S, Stefanovic V| title=Ocular melanoma: an overview of the current status. | journal=Int J Clin Exp Pathol | year= 2013 | volume= 6 | issue= 7 | pages= 1230-44 | pmid=23826405 | doi= | pmc=PMC3693189 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23826405  }} </ref>
A positive [[History and Physical examination|history]] of pre-existing [[iris]] [[nevus]] which increased in size, [[eye pain]], [[Vision loss|visual loss]], [[blurred vision]], [[Floater|floaters]], age between 50_70 years old, [[male]] gender, white [[race]], [[pregnancy]], [[Immune system disorder|impaired immune system]], light colored-irides, [[sunlight]] exposure, [[trauma]], and [[Fluorescence|fluorescent]] lighting exposure is suggestive of uveal melanoma. The most common [[Symptom|symptoms]] of uveal melanoma include ,[[eye pain]], [[blurred vision]], [[eye]] redness, loss of [[peripheral vision]], poor or [[blurry vision]] in one [[eye]], a dark spot on the [[iris]], seeing flashing lights, and [[Floater|floaters]].
==History and Symptoms==


==History==
*[[Symptoms]] of uveal melanoma include [[eye pain]], [[blurred vision]], [[eye]] redness, loss of [[peripheral vision]], poor or [[blurry vision]] in one [[eye]], a dark spot on the [[iris]], seeing flashing lights, and [[floaters]].
The history for uveal melanoma should include assessment for risk factors such as cutaneous or [[iris]] [[nevi]], UV light exposure, host pigmentation factors, [[family history]] of inherited skin disorders, onset and extent of visual abnormalities, and extraocular manifestations.


==Symptoms==
=== History ===
Clinical presentation depends on the location. When the tumor is located on the [[iris]] then it may be apparent to the patient or friends and family as a brown nodule. [[Choroidal]] or [[ciliary body]] [[tumors]] are only identified incidentally on [[fundoscopy]] or as a result of [[retinal detachment]] or advanced disease.<ref name="radio"> Retinoblastoma. Radiopedia(2015) http://radiopaedia.org/articles/primary-uveal-malignant-melanoma Accessed on October 21, 2015</ref> The majority of patients with uveal melanoma are symptomatic at the time of diagnosis, but up to 30% patients could be asymptomatic. Many cases of uveal melanoma are found during routine eye examination.  
Patients with uveal melanoma may have a positive history of:<ref name="EganSeddon1988">{{cite journal|last1=Egan|first1=Kathleen M.|last2=Seddon|first2=Johanna M.|last3=Glynn|first3=Robert J.|last4=Gragoudas|first4=Evangelos S.|last5=Albert|first5=Daniel M.|title=Epidemiologic aspects of uveal melanoma|journal=Survey of Ophthalmology|volume=32|issue=4|year=1988|pages=239–251|issn=00396257|doi=10.1016/0039-6257(88)90173-7}}</ref><ref name="NCI">Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/hp/intraocular-melanoma-treatment-pdq Accessed on October 24 2015</ref><ref name="vanKoopmans2013">{{cite journal|last1=van|first1=J.G.M.|last2=Koopmans|first2=A.E.|last3=Verdijk|first3=R.M.|last4=Naus|first4=N.C.|last5=de|first5=A.|last6=Kilic|first6=E.|title=Diagnosis, Histopathologic and Genetic Classification of Uveal Melanoma|year=2013|doi=10.5772/53631}}</ref><ref name="Reese1944">{{cite journal|last1=Reese|first1=Algernon B.|title=Pigment Freckles of the Iris (Benign Melanomas): Their Significance in Relation to Malignant Melanoma of the Uvea⋆|journal=American Journal of Ophthalmology|volume=27|issue=3|year=1944|pages=217–226|issn=00029394|doi=10.1016/S0002-9394(44)91382-6}}</ref><ref name="Siegel1963">{{cite journal|last1=Siegel|first1=Ralph|title=Malignant Ocular Melanoma During Pregnancy|journal=JAMA: The Journal of the American Medical Association|volume=185|issue=6|year=1963|pages=542|issn=0098-7484|doi=10.1001/jama.1963.03060060140028}}</ref><ref name="FisherKripke1982">{{cite journal|last1=Fisher|first1=M.|last2=Kripke|first2=M.|title=Suppressor T lymphocytes control the development of primary skin cancers in ultraviolet-irradiated mice|journal=Science|volume=216|issue=4550|year=1982|pages=1133–1134|issn=0036-8075|doi=10.1126/science.6210958}}</ref><ref>{{cite journal|title=Risk Factors for Ocular Melanoma: Western Canada Melanoma Study<xref ref-type="fn" rid="FN1">2</xref><xref ref-type="fn" rid="FN2">3</xref>|journal=JNCI: Journal of the National Cancer Institute|year=1985|issn=1460-2105|doi=10.1093/jnci/74.4.775}}</ref><ref name="TuckerShields1985">{{cite journal|last1=Tucker|first1=Margaret A.|last2=Shields|first2=Jerry A.|last3=Hartge|first3=Patricia|last4=Augsburger|first4=James|last5=Hoover|first5=Robert N.|last6=Fraumeni|first6=Joseph F.|title=Sunlight Exposure as Risk Factor for Intraocular Malignant Melanoma|journal=New England Journal of Medicine|volume=313|issue=13|year=1985|pages=789–792|issn=0028-4793|doi=10.1056/NEJM198509263131305}}</ref><ref name="BabaBlumenkranz1986">{{cite journal|last1=Baba|first1=F. E.|last2=Blumenkranz|first2=M.|title=Malignant Melanoma at the Site of Penetrating Ocular Trauma|journal=Archives of Ophthalmology|volume=104|issue=3|year=1986|pages=405–409|issn=0003-9950|doi=10.1001/archopht.1986.01050150105038}}</ref><ref name="BeralShaw1982">{{cite journal|last1=Beral|first1=Valerie|last2=Shaw|first2=Helen|last3=Evans|first3=Susan|last4=Milton|first4=Gerald|title=MALIGNANT MELANOMA AND EXPOSURE TO FLUORESCENT LIGHTING AT WORK|journal=The Lancet|volume=320|issue=8293|year=1982|pages=290–293|issn=01406736|doi=10.1016/S0140-6736(82)90270-7}}</ref>
Common symptoms of uveal melanoma include:<ref name="pmid23826405">{{cite journal| author=Jovanovic P, Mihajlovic M, Djordjevic-Jocic J, Vlajkovic S, Cekic S, Stefanovic V| title=Ocular melanoma: an overview of the current status. | journal=Int J Clin Exp Pathol | year= 2013 | volume= 6 | issue= 7 | pages= 1230-44 | pmid=23826405 | doi= | pmc=PMC3693189 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23826405  }} </ref>
 
* Pre-existing [[iris]] [[nevus]] which increased in size
*[[Eye pain]]
*[[Eye pain]]
*Eye redness
*[[Vision loss|Visual loss]]
*[[Blurred vision]]
*[[Floaters]]
*[[Ageing|Age]] between 50_70 years old
*[[Male]] gender
* white [[Race for Life|race]]
*[[Pregnancy]]
*[[Immune system disorder|Impaired immune system]]
* light colored-irides
*[[Sunlight]] exposure
*[[Trauma]]
*[[Fluorescent]] lighting exposure
 
===Common Symptoms===
Common [[Symptom|symptoms]] of uveal melanoma include:<ref name="radio">Retinoblastoma. Radiopedia(2015) http://radiopaedia.org/articles/primary-uveal-malignant-melanoma Accessed on October 21, 2015</ref><ref name="pmid23826405">{{cite journal| author=Jovanovic P, Mihajlovic M, Djordjevic-Jocic J, Vlajkovic S, Cekic S, Stefanovic V| title=Ocular melanoma: an overview of the current status. | journal=Int J Clin Exp Pathol | year= 2013 | volume= 6 | issue= 7 | pages= 1230-44 | pmid=23826405 | doi= | pmc=PMC3693189 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23826405  }} </ref>
 
*[[Eye pain]]
*[[Blurred vision]]
*[[Eye]] redness
*Loss of [[peripheral vision]]
*Loss of [[peripheral vision]]
*Poor or [[blurry vision]] in one [[eye]]
*Poor or [[blurry vision]] in one [[eye]]
*A dark spot on the [[iris]]
*A dark spot on the [[iris]]
*Seeing flashing lights
*Seeing flashing lights
*[[Floaters]]
*[[Floaters]]
*Symptoms of [[glaucoma]]
**Severe [[headache]]
**[[Nausea]] and [[vomiting]]
**[[Blurred vision]]
**Halos around lights


=== Less Common Symptoms ===
Less common [[Symptoms and Signs|symptoms]] of uveal melanoma include:
*Severe [[headache]]
*[[Nausea]] and [[vomiting]]
*Halos around lights
== References ==  
== References ==  
{{Reflist|2}}
{{Reflist|2}}


{{reflist|2}}
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Latest revision as of 00:37, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

A positive history of pre-existing iris nevus which increased in size, eye pain, visual loss, blurred vision, floaters, age between 50_70 years old, male gender, white race, pregnancy, impaired immune system, light colored-irides, sunlight exposure, trauma, and fluorescent lighting exposure is suggestive of uveal melanoma. The most common symptoms of uveal melanoma include ,eye pain, blurred vision, eye redness, loss of peripheral vision, poor or blurry vision in one eye, a dark spot on the iris, seeing flashing lights, and floaters.

History and Symptoms

History

Patients with uveal melanoma may have a positive history of:[1][2][3][4][5][6][7][8][9][10]

Common Symptoms

Common symptoms of uveal melanoma include:[11][12]

Less Common Symptoms

Less common symptoms of uveal melanoma include:

References

  1. Egan, Kathleen M.; Seddon, Johanna M.; Glynn, Robert J.; Gragoudas, Evangelos S.; Albert, Daniel M. (1988). "Epidemiologic aspects of uveal melanoma". Survey of Ophthalmology. 32 (4): 239–251. doi:10.1016/0039-6257(88)90173-7. ISSN 0039-6257.
  2. Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/hp/intraocular-melanoma-treatment-pdq Accessed on October 24 2015
  3. van, J.G.M.; Koopmans, A.E.; Verdijk, R.M.; Naus, N.C.; de, A.; Kilic, E. (2013). "Diagnosis, Histopathologic and Genetic Classification of Uveal Melanoma". doi:10.5772/53631.
  4. Reese, Algernon B. (1944). "Pigment Freckles of the Iris (Benign Melanomas): Their Significance in Relation to Malignant Melanoma of the Uvea⋆". American Journal of Ophthalmology. 27 (3): 217–226. doi:10.1016/S0002-9394(44)91382-6. ISSN 0002-9394.
  5. Siegel, Ralph (1963). "Malignant Ocular Melanoma During Pregnancy". JAMA: The Journal of the American Medical Association. 185 (6): 542. doi:10.1001/jama.1963.03060060140028. ISSN 0098-7484.
  6. Fisher, M.; Kripke, M. (1982). "Suppressor T lymphocytes control the development of primary skin cancers in ultraviolet-irradiated mice". Science. 216 (4550): 1133–1134. doi:10.1126/science.6210958. ISSN 0036-8075.
  7. "Risk Factors for Ocular Melanoma: Western Canada Melanoma Study<xref ref-type="fn" rid="FN1">2</xref><xref ref-type="fn" rid="FN2">3</xref>". JNCI: Journal of the National Cancer Institute. 1985. doi:10.1093/jnci/74.4.775. ISSN 1460-2105.
  8. Tucker, Margaret A.; Shields, Jerry A.; Hartge, Patricia; Augsburger, James; Hoover, Robert N.; Fraumeni, Joseph F. (1985). "Sunlight Exposure as Risk Factor for Intraocular Malignant Melanoma". New England Journal of Medicine. 313 (13): 789–792. doi:10.1056/NEJM198509263131305. ISSN 0028-4793.
  9. Baba, F. E.; Blumenkranz, M. (1986). "Malignant Melanoma at the Site of Penetrating Ocular Trauma". Archives of Ophthalmology. 104 (3): 405–409. doi:10.1001/archopht.1986.01050150105038. ISSN 0003-9950.
  10. Beral, Valerie; Shaw, Helen; Evans, Susan; Milton, Gerald (1982). "MALIGNANT MELANOMA AND EXPOSURE TO FLUORESCENT LIGHTING AT WORK". The Lancet. 320 (8293): 290–293. doi:10.1016/S0140-6736(82)90270-7. ISSN 0140-6736.
  11. Retinoblastoma. Radiopedia(2015) http://radiopaedia.org/articles/primary-uveal-malignant-melanoma Accessed on October 21, 2015
  12. Jovanovic P, Mihajlovic M, Djordjevic-Jocic J, Vlajkovic S, Cekic S, Stefanovic V (2013). "Ocular melanoma: an overview of the current status". Int J Clin Exp Pathol. 6 (7): 1230–44. PMC 3693189. PMID 23826405.