0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Extrascleral Spread of Choroidal Melanoma via Tantalum Marker Suture Track

Shilpa J. Desai, MD1; H. Jane Kim, MD1; Robert C. Kersten, MD1; Michele M. Bloomer, MD1; M. Reza Vagefi, MD1
[+] Author Affiliations
1Department of Ophthalmology, University of California, San Francisco
JAMA Ophthalmol. 2013;131(12):1643-1645. doi:10.1001/jamaophthalmol.2013.5042.
Text Size: A A A
Published online

Extract

Proton beam irradiation allows globe-sparing treatment of uveal melanoma with excellent local control rates.1 Recurrence after radiotherapy is low, ranging from 2% to 5%. Treatment first requires delineation of the tumor by placement of tantalum markers that are sutured to the sclera.2 We report a case of multifocal, extrascleral spread of choroidal melanoma along the suture track of a tantalum marker after proton beam therapy.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 1.
Clinical Photograph

A 65-year-old woman presented with multifocal, extrasceral spread of choroidal melanoma in the right eye 17 months after proton beam therapy. Multiple pigmented, subconjunctival lesions of the nasal globe are noted.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Histopathologic Sections of the Exenteration Specimen

A, Primary posterior necrotic tumor with overlying tantalum marker suture (hematoxylin-eosin, original magnification ×10). Inset, Melanoma cells seen around the suture material (hematoxylin-eosin, original magnification ×40). B, Posterior extrascleral extension of the tumor (hematoxylin-eosin, original magnification ×2). Inset, Melanoma cells along the suture material (hematoxylin-eosin, original magnification ×20).

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();