Description d'un melanome de l'uvee dans le cadre d'une neurofibromatose de type 2. [Choroidal melanoma in neurofibromatosis type 2: description of a case]
Details
Serval ID
serval:BIB_F3E58BC62EF4
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Description d'un melanome de l'uvee dans le cadre d'une neurofibromatose de type 2. [Choroidal melanoma in neurofibromatosis type 2: description of a case]
Journal
Journal Français d'Ophtalmologie
ISSN
0181-5512 (Print)
Publication state
Published
Issued date
05/2003
Volume
26
Number
5
Pages
477-80
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
English Abstract
Journal Article --- Old month value: May
Abstract
To the best of our knowledge this is the first description of a choroidal melanoma with documented growth in neurofibromatosis type 2 (NF2). A 20-year-old patient with NF2 presenting deafness due to bilateral acoustic neurinomas and unilateral amaurosis due to a meningioma of the optic nerve developed a pigmented parapapillary choroidal tumor. Despite signs indicating the diagnosis of a melanoma, periodic observation was chosen in order to postpone functional amputation following optic nerve irradiation. The tumor growth was slow during the 5 years that followed, and once progression became rapid, the tumor was treated by accelerated proton beam radiotherapy. One year later, visual acuity diminished due to actinic optic neuropathy and was stabilized at 0.3 for the 2 following years. The tumor presented objective signs of regression, and no sign of metastatic disease was observed. The therapeutic approach in this case provided local control of the tumor while preserving useful visual function.
Keywords
Adult
Choroid Neoplasms/*complications/diagnosis/pathology/surgery
Disease Progression
Female
Humans
Melanoma/*complications/diagnosis/pathology/surgery
Neurofibromatosis 2/*complications
Optic Nerve/radiation effects
Radiotherapy/methods
Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 13:10
Last modification date
20/08/2019 16:20