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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 464

Magnetic resonance imaging of simultaneous ipsilateral choroidal melanoma and orbital cavernous hemangioma


Department of Ophthalmology and Visual Sciences, Princess Margaret Cancer Centre/University Health Network, Ocular Oncology Service, University of Toronto, Toronto, Canada

Date of Web Publication02-Jul-2021

Correspondence Address:
Dr. Leonardo Lando
Princess Margaret Cancer Centre/UHN, 610 University Avenue, Toronto - M5G 2M9, ON
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_249_21

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How to cite this article:
Lando L, Sainani K, Krema H. Magnetic resonance imaging of simultaneous ipsilateral choroidal melanoma and orbital cavernous hemangioma. Indian J Ophthalmol Case Rep 2021;1:464

How to cite this URL:
Lando L, Sainani K, Krema H. Magnetic resonance imaging of simultaneous ipsilateral choroidal melanoma and orbital cavernous hemangioma. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 28];1:464. Available from: https://www.ijoreports.in/text.asp?2021/1/3/464/319995



A 72-year-old man diagnosed with a longstanding right orbital cavernous hemangioma was found with a new dome-shaped mass within the right globe on routine magnetic resonance imaging [Figure 1]. The novel intraocular lesion exhibited a marked opposite signal from the hemangioma, suggesting a distinct entity. On the basis of the imaging study,[1],[2],[3] followed by fundus examination and further investigations, the patient was confirmed with a right primary choroidal melanoma co-occurring to an ipsilateral orbital cavernous hemangioma. He was treated with plaque brachytherapy for the melanoma and regularly monitored for the hemangioma.
Figure 1: Comparative images reveal opposite signals for the simultaneous choroidal melanoma and orbital cavernous hemangioma. On T1-weighted scans, the choroidal melanoma displays a typical hyperintense signal (a), whereas the hemangioma presents isointense to the extraocular muscles (b). On T2 sequences, the melanoma lesion appears hypointense (c), contrasting to the hemangioma's hyperintense signal (d). There is enhancement post-gadolinium at both lesions (e and f)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Khan SN, Sepahdari AR. Orbital masses: CT and MRI of common vascular lesions, benign tumors, and malignancies. Saudi J Ophthalmol 2012;26:373-83.  Back to cited text no. 1
    
2.
Diamantopoulou A, Damianidis Ch, Kyriakou V, Kotziamani N, Emmanouilidou M, Goutsaridou F, et al. Orbital cavernous hemangiomas: Ultrasound and magnetic resonance imaging evaluation. Neuroradiol J 2010;23:99-108.  Back to cited text no. 2
    
3.
Ferreira TA, Grech Fonk L, Jaarsma-Coes MG, van Haren GG, Marinkovic M, Beenakker JM. MRI of uveal melanoma. Cancers (Basel) 2019;11:377.  Back to cited text no. 3
    


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