Clinical Cases in Ocular Oncology

Differential Diagnosis and Management

1st Edition - June 21, 2024
Editors: Aparna Ramasubramanian, Carol L. Shields
Language: English
Paperback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 0 4 9 - 7
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 0 7 4 - 9

The complex area of ocular oncology requires adaptable approaches to treatment depending on the type and anatomical region of the tumor, tumor characteristics, the patient’s age,… Read more

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The complex area of ocular oncology requires adaptable approaches to treatment depending on the type and anatomical region of the tumor, tumor characteristics, the patient’s age, co-morbidities, and response to first-line treatment. Through the use of practical, case-based content, Clinical Cases in Ocular Oncology helps you familiarize yourself with clinical decision making in this challenging field, providing expert guidance on diagnosis, management, and treatment planning.

Cover image
Title page
Copyright
Dedication
Dedication
Contributors
Preface
Contents
Section 1 Eyelid/Orbital Tumors
CHAPTER 1 Eyelid Squamous Cell Carcinoma
Chronic Unilateral Blepharoconjunctivitis in a 90-Year-Old
Acknowledgment
CHAPTER 2 Eyelid Basal Cell Carcinoma
Multiple Eyelid Lesions in a 43-Year-Old White Female
CHAPTER 3 Eyelid Melanoma
Eyelid Malignant Melanoma in a 47-Year-Old Female of Hispanic Origin
CHAPTER 4 Orbit Infantile Hemangioma
Increased Swelling of the Eyelid in a 2-Month-Old Child
CHAPTER 5 Orbital Dermoid Cyst
Painless, Slow-Growing, Periorbital Mass in a 3-Year-Old Child
CHAPTER 6 Orbit Lymphoma
Tearing and Eye Swelling OS for 4 Months in a 54-Year-Old Male
CHAPTER 7 Orbit Cavernous Venous Malformation
Right Lower Eyelid Swelling, Inferior Orbital Mass, Proptosis and Globe Displacement in a 58-Year-Old Female
Suggested Reading
CHAPTER 8 Orbit Lymphangioma
Painful Proptosis in a 5-Year-Old Child
CHAPTER 9 Orbit Rhabdomyosarcoma
Orbital Rhabdomyosarcoma: Assessment of Treatment Response
References
CHAPTER 10 Orbit Lacrimal Pleomorphic Adenoma
Progressive Unilateral Ptosis in an 11-Year-Old Child
CHAPTER 11 Orbit Metastatic Tumor
Right Eye Proptosis and Epiphora in a 4-Year-Old Child for 1 Month
CHAPTER 12 Orbit Lacrimal Adenoid Cystic Carcinoma
Proptosis and Pain in a 32-Year-Old Female
CHAPTER 13 Optic Nerve Pilocytic Astrocytoma (Glioma)
11-Month Old Male With Multiple Café Au Lait Spots
CHAPTER 14 Optic Nerve Sheath Meningioma
Decreased Unilateral Visual Acuity in a 12-Year-Old Female
Section 2 Conjunctival Tumors
CHAPTER 15 Conjunctival Lipodermoid
Conjunctival Mass in a 12-Year-Old Female
CHAPTER 16 Conjunctival Nevus
65-Year-Old With Pigmented Conjunctival Lesion
CHAPTER 17 Conjunctival Primary Acquired Melanosis Localized
Unilateral Pigmented Conjunctival Lesion Involving 2 Clock-Hours in a 58-Year-Old Female
CHAPTER 18 Conjunctival Primary Acquired Melanosis Diffuse
Diffuse Unilateral Conjunctival Pigmentation in a 76-Year-Old White Female
CHAPTER 19 Conjunctival Melanoma—Localized
Melanotic Conjunctival Lesion in a 65-Year-Old White Male
CHAPTER 20 Conjunctival Melanoma Diffuse
Multiple Conjunctival Lesions in a 48-Year-Old Black Female
CHAPTER 21 Conjunctival Melanoma With Lymph Node Involvement
New Pigmented Lesion in Bulbar Conjunctiva
CHAPTER 22 Conjunctival Squamous Cell Carcinoma
Conjunctival Mass in a 59-Year-Old Male Postsurgery
CHAPTER 23 Conjunctival Squamous Cell Carcinoma Recurrent
Vascular Elevated Conjunctival Mass in a 68-Year-Old Male
CHAPTER 24 Conjunctiva Lymphoma
Fleshy Pinkish Mass on Right Eye Conjunctiva in a 38-Year-Old Male
Section 3 Iris and Ciliary Body Tumors
CHAPTER 25 Iris Juvenile Xanthogranuloma
White Area on the Right Iris in a 2-Month-Old Female
CHAPTER 26 Iris Nevus
A Pigmented Iris Lesion in a 59-Year-Old Female
Reference
CHAPTER 27 Iris Melanoma Nodular
A Growing Pigmented Iris Lesion in a 44-Year-Old Healthy Patient
CHAPTER 28 Iris Melanoma Diffuse
Iris Neovascularization and Increased Intraocular Pressure in a 64-Year-Old Male
CHAPTER 29 Iris Pigment Epithelial Cyst
Asymptomatic Iris Lesion With Progression in Size
CHAPTER 30 Ciliary Body Medulloepithelioma
Leukocoria and Decreased Visual Acuity in a 3-Year-Old Female
CHAPTER 31 Ciliary Body Adenoma (Epithelioma)
Retrolental Mass in a 41-Year-Old Female
Section 4 Uveal Pigmented Tumors
CHAPTER 32 Choroid Nevus
Pigmented Choroidal Lesion in the Right Eye (OD) of a 67-Year-Old Male
CHAPTER 33 Choroid Nevus with Subretinal Fluid
Decreased Visual Acuity and Floaters in a 61-Year-Old Female
CHAPTER 34 Choroid Nevus With Pigment Epithelial Detachment
Decreased Visual Acuity in a 58-Year-Old Female
CHAPTER 35 Choroid Melanoma—Small
A Pigmented Choroidal Lesion With Suspicious Features
References
CHAPTER 36 Choroid Melanoma—Medium
Ongoing Photopsia in a 49-Year-Old Woman
CHAPTER 37 Choroid Melanoma—Large
Painless Visual Field Deficit and Photopsias in a 72-Year-Old Male
CHAPTER 38 Choroid Melanoma—Extrascleral Extension
Choroidal Lesion and Corectopia in a 68-Year-Old Female
CHAPTER 39 Choroid Melanoma—Isolated Liver Metastasis
Incidental Finding on Routine Eye Screening
CHAPTER 40 Choroid Melanoma—Diffuse Metastasis
Retinal Detachment and 1 Month of Decreased Visual Acuity in a 64-Year-Old White Female
Treatment Options for Choroid Melanoma With Diffuse Liver Metastasis
CHAPTER 41 Choroid Melanoma—Radiation Retinopathy
New Cotton Wool Spots and Decreased Visual Acuity Post–Plaque Radiotherapy
Section 5 Retinoblastoma
CHAPTER 42 Retinoma
11-Year-Old Male With Retinal Mass
Key Points
CHAPTER 43 Retinoblastoma—Unilateral Medium Grade
Leukocoria With Exotropia in a 2-Year-Old Female Child
CHAPTER 44 Retinoblastoma—Unilateral High Grade
Protrusion of the Eye in a 3.5-Year-Old Female
CHAPTER 45 Retinoblastoma—Unilateral With High-Risk Features
Right Eye Leukocoria in a 4-Year-Old Child
Suggested Reading
CHAPTER 46 Retinoblastoma—Vitreous Seeding
Unilateral Leukocoria in a 17-Month-Old Female
References
CHAPTER 47 Retinoblastoma—Bilateral Medium Grade
Strabismus in a 9-Month-Old Infant
CHAPTER 48 Retinoblastoma—Bilateral Advanced
Strabismus in an 11-Month-Old Child
CHAPTER 49 Retinoblastoma—Family History
Third-Generation Child With Bilateral Retinoblastoma
CHAPTER 50 Retinoblastoma—Orbital Involvement
Leukocoria and Decreased Visual Acuity in a 1-Year-Old Child
Reference
CHAPTER 51 Retinoblastoma—Metastatic
Leukocoria, Neovascular Glaucoma, and Subconjunctival Mass in a 20-Month-Old Male
CHAPTER 52 Retinoblastoma—Second Malignancy
Osteosarcoma Secondary to RB1 Germline Mutation
CHAPTER 53 Pinealoblastoma
7-Month-Old Child With Bilateral Retinoblastoma and Pinealoblastoma
Section 6 Nonpigmented Posterior Segment Tumors
CHAPTER 54 Choroid Metastasis—Isolated
Decreased Visual Acuity in a Woman With a History of Cancer
CHAPTER 55 Choroid Metastasis—Multifocal
Painless, Progressive Decreased Vision in the Right Eye of a 69-Year-Old Female With a Choroidal Lesion
CHAPTER 56 Choroid Hemangioma Circumscribed
Decreased Visual Acuity in a 53-Year-Old Male
CHAPTER 57 Choroid Hemangioma Diffuse
Decreased Visual Acuity in an 11-Year-Old Child
CHAPTER 58 Choroid Osteoma
Decreased Vision in a 29-Year-Old Male
CHAPTER 59 Choroid Primary Lymphoma
A 56-Year-Old Female Was Referred for Choroidal Infiltration of the Right Eye
CHAPTER 60 Retina Vasoproliferative Tumor
Decreased Vision and Floaters in a 23-Year-Old Female
CHAPTER 61 Retina Hemangioblastoma
Left Inferior Retinal Mass in a 16-Year-Old Male With von Hippel-Lindau Syndrome
CHAPTER 62 Retina Astrocytoma
Retinal Lesions in a 21-Year-Old Female
CHAPTER 63 Retina Congenital Hypertrophy of Retinal Pigment Epithelium
Left Retinal Lesions in a 5-Year-Old Child
CHAPTER 64 Retinal Pigment Epithelium Adenoma/Adenocarcinoma
Decreased Vision and Pigmented Lesion in a 52-Year-Old Female
CHAPTER 65 Primary Vitreoretinal Lymphoma
Chronic Floaters and Decreased Visual Acuity in a 69-Year-Old Female
CHAPTER 66 Retina Combined Hamartoma
Decreased Vision in a 14-Year-Old Female
Index

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Clinical Cases in Ocular Oncology

Differential Diagnosis and Management

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Aparna Ramasubramanian

Carol L. Shields