Abstract:Age-related macula degeneration (AMD) is the cause for one third of all pseudomelanomas. Because of its increasing incidence in the future, more attention must be paid to AMD in the differential diagnosis of chorioretinal lesions suspicious of melanoma.
“…In a retrospective analysis of 12,000 patients referred for choroidal melanoma, the frequency of pseudomelanoma was reported as 14.4% by Shields et al [ 2 ]. Another study revealed a pseudomelanoma frequency of 53.7% (246/458) among eyes examined for choroidal melanoma [ 5 ].…”
“…In a retrospective analysis of 12,000 patients referred for choroidal melanoma, the frequency of pseudomelanoma was reported as 14.4% by Shields et al [ 2 ]. Another study revealed a pseudomelanoma frequency of 53.7% (246/458) among eyes examined for choroidal melanoma [ 5 ].…”
“…Im Zeitverlauf zeigt die hämorrhagische Pigmentepithelabhebung eine langsame Verkleinerung und bestätigt damit die Diagnose PEHCR im Gegensatz zum malignen Aderhautmelanom. Bei Erstvorstellung des Patienten kann diese Differenzialdiagnose jedoch schwierig sein [5]. Unsere Fallbeschreibung zeigt die typischen Befunde einer PEHCR und die Abgrenzung zum malignen Melanom der Aderhaut.…”
“…"Pseudomelanomen" gezählt werden kann [7]. Zu der Gruppe der Pseudomelanome gehören unter anderem: disciforme (pseudotumoröse) altersbedingte Makuladegeneration, Hypertrophie des retinalen Pigmentepithels (RPE), Melanozytom, Aderhauthämangiom und -metastase sowie subretinale Blutung bei Makroaneurysma [9]. Für die Abklärung bzgl.…”
Peripheral exudative hemorrhagic chorioretinopathy should be considered in the differential diagnosis of vitreous haemorrhage and peripheral subretinal tumors in the elderly.
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