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Bulgarian Review of Ophthalmology

Clinical Case of Huge Congenital Hypertrophy of the Retinal Pigment Epithelium Labeled as Choroidal Melanoma

M. K. Maksimova, L. Y. Rodriguez, D. L. Parra

Abstract

A case of a 48-year-old woman who was referred to an Ocular Oncology Unit with a suspected choroidal melanoma diagnosis in her left eye, which final diagnosis was a congenital hypertrophy of the retinal pigment epithelium (CHRPE). No evidence of other ocular or general condition findings has been reported. Diagnostic, as well as the risks of malignancy, are discussed. We highlight the importance of performing an appropriate differential diagnosis of a large pigmented lesion detected on routine ocular examination due to the implications for the patient.


Keywords

choroidal melanoma, congenital hypertrophy of the retinal pigment epithelium, differential diagnosis, eye fundus

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References

Shields C, Mashayekhi A, Ho T et al. Solitary congenital hypertrophy of the retinal pigment epithelium. Ophthalmology, 2003;110(10), 1968-1976.

Shields C, Pirondini C, Bianciotto C et al. Autofluorescence of congenital hypertrophy of the retinal pigment epithelium. Retina, 2007;27(8), 1097-1100.

Arjona FE, López IR, Granda MJD et al. Lesions and related tumors of the retinal pigment epithelium. Annals d’Oftalmologia, 2018;26(3): 265-273.




DOI: http://dx.doi.org/10.14748/bro.v65i3.8129

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About The Authors

M. K. Maksimova
Hospital San Pedro, Logroño
Spain

L. Y. Rodriguez
Bellvitge University Hospital, Barcelona
Spain

D. L. Parra
Bellvitge University Hospital, Barcelona
Spain

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