A Case of Malignant Melanoma of Chroid in an Infant.

Bae, Jae Ki; Song, In Dal; Kim, Sang Ha

Case Report

Journal of the Korean Ophthalmological Society 1978;19(4):139-143.
Published online January 1, 2001.

A Case of Malignant Melanoma of Chroid in an Infant.

Jae Ki Bae, In Dal Song, Sang Ha Kim

Department of Ophthalmology, School of Medicine, Kyung-Buk National University, Taegu, Korea.

유아의 맥락막에서 발생한 악성흑색종의 1예

배재기 , 송인달 , 김상하 ( Jae Ki Bae , In Dal Song , Sang Ha Kim )

Abstract

Malignant melanoma originated from the uvea is rare in the Orientals and children. A 1 and 1/3 year-old male infant gave a history of the white pupil and visual loss in the right eye for unknown period. The patient was visited another hospital and Water's view revealed suspicious calcification in the right orbit, so he was referred to our hospital. Ocular examination revealed opaque media due to numerous vitreous floaters and organized fibrinous materials. Re-examination of Water's view also revealed suspicious calcification in the right orbit, but confirmed a small calcific density by the C-T scanning examination. We performed enucleation of the right eye with clinical diagnosis of the retinoblastoma because of the patient's age, clilnical findings, radiologiacal findings and diffuse increased intrnocular soft tissue density in the C-T scanning examination. The histopathological diagnosis was malignant melanoma, mixed type, which was originated from the choroid with invasion of the ciliary body. The case reported here is unsuspected malignant melanoma which will exceptionally occur in the infant. A brief review of relating literatures is described.