Malignant Transformation of a Choroidal Nevus
2024

Malignant Transformation of a Choroidal Nevus

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Li Luxi, Zhang Qiongyue, Zhang Peng

Primary Institution: Department of Ophthalmology, Xi'an No. 3 Hospital, the Affiliated Hospital of Northwest University, Xi'an, CHN

Hypothesis

Can a choroidal nevus transform into malignant melanoma?

Conclusion

Choroidal nevus can transform into malignant melanoma, leading to severe complications and eventual death despite treatment.

Supporting Evidence

  • Choroidal nevus is the most common intraocular tumor, with a low risk of transformation into melanoma.
  • The patient experienced blurred vision and was diagnosed with a choroidal nevus.
  • Bevacizumab treatment initially reduced subretinal fluid but did not prevent malignant transformation.
  • Transpupillary thermotherapy was performed due to the risk of malignant transformation.
  • The patient eventually died due to metastasis despite multiple treatment modalities.

Takeaway

A choroidal nevus is a common eye tumor that can sometimes turn into a dangerous cancer called melanoma, which can be very serious.

Methodology

The case report involved multimodal fundus imaging and treatment with bevacizumab and transpupillary thermotherapy.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 45-year-old male patient.

Digital Object Identifier (DOI)

10.7759/cureus.75056

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