PPT-Pigmented Choroidal Lesions – UHNM

Choroidal Naevus clinic Dr Andrew Brown November 2016 Differentiating between benign and malignant choroidal lesions When to refer urgently When to refer routinely How to refer UHNM . Charles L . DiPasquale. , DDS. Suspect Oral Cancer. Anything that looks ugly or suspicious, refer for biopsy:. General Dentist. Periodontist. Oral Surgeon. Keratosis. Leukoplakia. Ulcers with induration. Choroidal. Lesions – UHNM . Choroidal. . Naevus. clinic. Dr. Andrew Brown. November 2016. Differentiating between benign and malignant . choroidal. lesions. When to refer urgently. When to refer routinely. RETINAL ANATOMY. *Choroid. *Retina. *Optic nerve. Retinal Vasculature. Central retinal artery. Branch retinal arteries. Arterioles. Capillaries . Venules. Branch retinal veins. Central retinal vein. Reasons for physician wanting FA. axial . Spondyloarthritis:. when . to . repeat an MRI?. R. . Sengupta. * . 1. , H. Marzo Ortega. 2,3. , D. McGonagle. 2,3. , A. Bennett. 4. 1. Royal National Hospital for Rheumatic Diseases, Bath; . VITRORETINAL FLOWSHIP. FA –ICG OCT. IN ARMD. Angiography. Angiography is a diagnostic test used by ophthalmologists to photograph structures in the back of the eye and is especially useful in finding . AIL 2013BY MICHAEL ULLAN BS PRIYA SHARSlow Growth of evus ransformation to MelanomaFigure 1 Baseline fundus photograph of the right eye revealing a pigmented 20 mm x 15 mm choroidal nevus in the supe Sunil V. Rao MD FSCAI. Duke University Health System. Durham VA Health System. Disclosures . Institutional research funding. Svelte Inc. Shockwave Medical. Bayer . No consulting RWI . Thanks to Ajay . Leprosy is a . chronic disease . of the nervous system which affects the skin and nerves caused by a bacteria known as . Mycobacterium Leprae. .. The organism was discovered by . Gerhard Armauer Hansen. Most of these lesions are benign. Breast cancer is 2. nd. most common cause of cancer deaths in women, following. carcinoma of the lung. . The clinical significance of the . benign. conditions:. 1- possible clinical confusion with malignancy. JULY 2014 23 T he first references to dermatoscopy are from the 1920s, Saphier first using the term in 1923. It is now established that use of a dermatoscope in clinical practice increases diagno 1 Dr Labeed AL Samarrai OMFS . FICMS 5 t h stage Associations with Melanin Pigmentation of Oral Mucosa P hysiologic or syndromic associations ● Racial or physiologic pigmentation ● Peutz - Jegh 200 micrometers from the foveal avascular zone) 18. b)subfoveal CNV 19. c)juxtafoveal CNV ( 200 micrometers from the foveal avascular zone) 20. 5)In contrast to POHS, the following clinical features a Additional Professor,. Department of Ophthalmology,. AIIMS, . Rishikesh. Acknowledgement. Some clinical photographs . in this presentation are . courtesy. Dr.Brad. Bowling . (. Kanski’s. . Clinical Ophthalmology. Brown . melanotic. lesions. Ephelis. and oral . melanotic. . macule. Nevocellular. nevus and blue nevus. Malignant melanoma. Drur. -induced . melanosis. Physiologic pigmentation. Café au . lait.