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TitleMelanocytic iris tumors: differential diagnosis and management
Abstract Nr.205
PurposeTo present the differential diagnosis of pigmented iris tumours and their management.
MethodsA systematic review.
ResultsThe differential diagnosis of pigmented iris tumours consists of melanocytosis, naevus, atypical melanocytic tumour, melanocytoma, melanoma and some miscellaneous tumours. The diagnosis is classically made by non invasive techniques, including slit lamp examination and photos, measurement of intraocular pressure, visual fields, gonioscopy and ultrasonography (UBM and 20 MHz). Incisional biopsy has only a relative value.
ConclusionIn benign and atypical tumours, periodic observation is the standard management. Evidence of growth usually implies a malignant melanoma, for which protontherapy is a safe conservative treatment.
Author 1
Last nameSCHALENBOURG
InitialsAMP
DepartmentJules-Gonin Eye Hospital
CityLausanne
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