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Doctor insights on: Worst Intraocular Melanoma Symptom

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Which type of melanoma cares the worst prognosis ? Is it nodular o a melanotic melanoma ?

Which type of melanoma cares the worst prognosis ? Is it nodular o a melanotic melanoma ?

Nodular melanoma: Three of the four types of melanoma remain superficial in the epidermis and grow RADIALLY (laterally), often for several years, before entering the VERTICAL GROWTH PHASE where they grow downward and invade the dermis with the potential to metastasize. The fourth type of melanoma is nodular melanoma which STARTS in the vertical growth phase and can metastasize from the outset. ...Read more

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Dr. Mike Bowman
959 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin which is one of the most complex organs in the body, degenerates into cancer, with the cancerous (malignant) cells growing ...Read more


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Early stage glaucoma & moderate stage epiretinal membrane same eye not affecting vision much now. W/both diseases potential for central vision loss & peripheral vision loss causes anxiety. Prognosis?

Early stage glaucoma & moderate stage epiretinal membrane same eye not affecting vision much now. W/both diseases potential for central vision loss & peripheral vision loss causes anxiety. Prognosis?

The risk is very low: An epiretinal membrane is a common finding in 60 y/o female and typically remain visually insignificant. If it becomes visually significant, surgical treatment is very successful. Mild glaucoma is very treatable, and with appropriate followup and treatment, peripheral vision loss can be prevented. Central loss is extremely rare. ...Read more

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Is there possibility of bone metastasis occurring if primary carsinoma cancer, stage 1b, grade 2 of the breast full mastec recon sentinel nodes clear?

Is there  possibility of bone metastasis occurring if primary carsinoma cancer, stage 1b, grade 2 of the breast full mastec recon sentinel nodes clear?

Unlikely but poss.: Prognosis of small stage i intermediate grade tumor is favorable esp . Er+. For er- (triple neg or her2+) tumors a bit worse but still favorable in stage i. Recurrence (local or distant) is not unheard of. While lymphatic/nodal spread is the most common, there are other ways for tumors to spread. Also while most sent. Nodes are in the axilla, tumor can drain elsewhere (supra clav, int mammary). ...Read more

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Is one optic nerve being bigger than the other a sign of glaucoma? Is eye pressure 20 & 17 a sign of glaucoma?

Is one optic nerve being bigger than the other a sign of glaucoma? Is eye pressure 20 & 17 a sign of glaucoma?

Its a risk factor: Asymmetry of the optic nerve between eyes is one known red flag for potential glaucoma. Also a slightly elevated eye pressure in the eye with more "cupping" can be another risk factor. It will be best to have each eye evaluated in an exam with a visual field test and possibly photos of the nerve to evaluate how healthy it is. It made need treatment or just close observation. Good luck! ...Read more

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Random partial vision loss in right eye. Is retinal detachment always a high possibility?

Random partial vision loss in right eye. Is retinal detachment always a high possibility?

It depends: Vision loss can be due to a number of factors, including retinal detachment. In iowa city, iowa you are fortunate to be close to one of the nation's top eye departments. Get evaluated and find out what the cause of your vision loss is. ...Read more

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Potential for episodic mild central vertigo to be the lone presenting symptom of a brain tumor? Only symptom & dr wants CT/MRI. Neuro exam perfect.

Potential for episodic mild central vertigo to be the lone presenting symptom of a brain tumor? Only symptom & dr wants CT/MRI. Neuro exam perfect.

Possibly : Vertigo can have many reasons the most common being BPV : benign positional vertigo ... Obtaining MRI or CT to rule out other causes such as tumor etc is a wise idea specially if the vertigo is significant and has lasted a while .. ...Read more

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Can anterior vitreous detachment occur before pvd? Does it reduce the retinal risks assoc with cataract surgery? Symptoms other than floaters?

Can anterior vitreous detachment occur before pvd? Does it reduce the retinal risks assoc with cataract surgery? Symptoms other than floaters?

Vitreous detachment: May occur at the level of the anterior retina adjacent to an area called the ora serrata. The vitreous may delaminate from the retina at any location, meaning either posterior or anterior at anytime either from trauma or idiopathic. If the vitreous is already detached from the retina, then the risks of a retinal detachment is theoretically reduced. ...Read more

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Is glaucoma, macular pucker or early Fuchs causing brief white out vision when driving in sun & then shade? diseases are in same eye & use monovision

Is glaucoma, macular pucker or early Fuchs causing brief white out vision when  driving in sun & then shade? diseases are in same eye & use monovision

3 different problems: Fuchs is weakness of the front cornea. Glaucoma is a disease where too much pressure damages the vision. Macular pucker is damage to the retina/macula.. KISS...See the ophthalmologist...Get your answers ASAP.. Keep us posted... Dr.Sibley ...Read more

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Advanced Macular pucker & stable glaucoma in 1 eye. 2nd eye mild ERM. What is prognosis for adequate vision. Concerned that both eyes have disease.

Advanced Macular pucker & stable glaucoma in 1 eye. 2nd eye mild ERM. What is prognosis for adequate vision. Concerned that both eyes have disease.

Close follow up: Macular pucker can occur as a consequence of spontaneous pucker. There are procedures that can be done to help eliminate this but they carry some risk so usually the retinal surgeons who do this will wait for a level of lowered vision that is significant or note progression as a reason to intervene. The glaucoma is a separate issue for both eyes. These conditions should be closely monitored. ...Read more

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Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis The drooping is bad

Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis   The drooping is bad

More information: Myasthenia can cause ptosis but on other spectrum from these other disorders mentioned. I would be curious to know if you have any surgery for the chiari? Something as simple as bells palsy can cause drooping as well. If this is a new and sudden symptoms, then you should seek care. ...Read more

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Is having headache pain above one eye a sign of retinal detachment?

Is having headache pain above one eye a sign of retinal detachment?

No pain with RD: Signs of rd are those seen by examining eye doctor: subretinal fluid, retinal tear, pigment cells in vitreous, and pvd. The symptoms that a patient experiences are painless progressive loss or greying; of vision which may involve the central vision. This may be proceeded by flashes and floaters. Sometimes an rd can by asymptomatic, and therefore it is important to get checked. ...Read more

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In right eye moderate glaucoma w/optic atrophy & moderate epiretinal membrane. Last 6 mos. colors washed out. Is this symptom of membrane or glaucoma?

In right eye moderate glaucoma w/optic atrophy & moderate epiretinal membrane.  Last 6 mos. colors washed out. Is this symptom of membrane or glaucoma?

Glaucoma likely: Epiretinal membranes cause distortion of the vision but don't usually alter color sensitivity as a rule. Glaucoma causes a loss of photoreceptor sensitivity and as these disappear, the color can be diminished. So glaucoma is more likely the cause of your color washout. ...Read more

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Early Fuchs dystrophy w/clear corneas, mild gutta, 20/20vision but high densitometry,glare, lights,depth perception. Dr says this combination unusual?

Early Fuchs dystrophy w/clear corneas, mild gutta, 20/20vision but high densitometry,glare, lights,depth perception. Dr says this combination unusual?

Fuchs dystrophy: Can cause significant glare though vision is still 20/20. Depending on specifics, your symptoms (in addition to h/o of glaucoma & ERM) are possible. See eyedoc2020@blogspot.com for references on Fuchs. ...Read more

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What are the tests for intraocular melanoma?

What are the tests for intraocular melanoma?

Eye exam: An eye examination by an ophthamologist is usually how the diagnosis is made. More detailed examination by a specialist in retinas or ocular oncology may follow. A biopsy can be done by the specialist. ...Read more

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What is the treatment for intraocular melanoma?

What is the treatment for intraocular melanoma?

Radiation or surgery: If the tumor has not spread, most people are treated with surgery or localized radiation. The decision on which treatment is generally made by a specialist in the area. ...Read more

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Which symptom did you have of melanoma?

Which symptom did you have of melanoma?

Use ABCDE RULE: It's best to see a dermatologist but a good rule of thumb is the abcd guidelines a=asymmetry of lesion b=border is irregular c=colors are multiple and not consistent d=diameter is greater than 6mm e=evolution of lesion with changes and enlargement. ...Read more

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What symptoms are typically associated with melanoma?

What symptoms are typically associated with melanoma?

Malignant Melanoma: Aad malignant melanoma screening: asymmetry: 1 half is unlike the other. Border: irregular, scalloped or poorly defined. Color: varied with shades of tan, brown or black; or white, red or blue. Diameter: > 6 mm. Evolving: mole /skin lesion looks different from the rest or is changing in size, shape or color. An irregular mole that itches, bleeds or is painful is worrisome for possible cancer. ...Read more

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What are the symptoms of stage three melanoma in a teenage female?

What are the symptoms of stage three melanoma in a teenage female?

Lymph nodes.: The main thing in stage iii melanoma in anyone is that there are palpable lymph nodes in the vicinity of the tumor/melanoma. It has a 50% 5 year survival if only one node is involved and a 15-20% 5 year survival if 4 or more nodes are involved. Survival is improved with interferon-alpha treatment. Chemotherapy and immunotherapy may alsso help. Please see your doctor for the best treatment plan. ...Read more

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What are the symptoms of malignant melanoma?

Varies: Many melanomas are without symptoms. Some are itchy, irritated, or may bleed. They have often changed shape, size or color, but these changes are usually asymptomatic. If the melanoma has spread, there are multiple other symptoms that could possibly occur. ...Read more

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What are the symptoms of metastatic melanoma?

What are the symptoms of metastatic melanoma?

Depends: The most common symptom would be no symptoms at all. Metastatic melanoma is often picked up on imaging. Symptoms can occur depending on the location of the lesions. Neurological symptoms for brain mets, bleeding or obstruction for GI mets, possible pulmonary symptoms for lung mets. ...Read more

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What are the symptoms without treatment having melanoma?

What are the symptoms without treatment having melanoma?

ABCD's: Remember your abcd's when thinking of melanoma. Look for moles with asymmetry boarders that are irregular color differences within the same mole diameter greater than 6mm also any new mole or old that starts to itch, bleed or ulcerate should be of concern. Another rule is the ugly duckling rule. Which refers to a mole that looks distantly different from the others on your body. ...Read more

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What are the symptoms of malignant melanoma on your back?

What are the symptoms of malignant melanoma on your back?

Skin mole: Melanoma doesn't usually hurt or cause symptoms. Sometimes it itches or bleeds easily. If it is very large it can cause pain. If it has spread to other organs it can also cause symptoms. But if it is small and just on the back, it doesn't cause much in the line of symptoms. Visit your doctor to talk about your options to determine if it really is melanoma (punch biopsy or shave biopsy). ...Read more

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What are the most common symptoms of metastatic melanoma?

What are the most common symptoms of metastatic melanoma?

Depends: The most common symptom would be no symptoms at all. Metastatic melanoma is often picked up on imaging. Symptoms can occur depending on the location of the lesions. Neurological symptoms for brain mets, bleeding or obstruction for GI mets, possible pulmonary symptoms for lung mets. ...Read more

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Which type of melanoma cares the worst prognosis ? Is it nodular o a melanotic melanoma ?

Nodular melanoma: Three of the four types of melanoma remain superficial in the epidermis and grow RADIALLY (laterally), often for several years, before entering the VERTICAL GROWTH PHASE where they grow downward and invade the dermis with the potential to metastasize. The fourth type of melanoma is nodular melanoma which STARTS in the vertical growth phase and can metastasize from the outset. ...Read more

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What are the symptoms when a melanoma metastasis? How does a late stage melanoma look alike?

Variable: The symptoms are quite variable depending on the organs affected by the metastases. Similarly the appearance of the lesions also varies, and not all lesions have pigment. See this site for more info. http://www.mayoclinic.org/diseases-conditions/melanoma/basics/definition/con-20026009 ...Read more

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If you had a amelanotic Subungual melanoma on the finger and it progressed to hutchinsons sign, would the hutchinsons sign be coloured or amelanotic?

If you had a amelanotic Subungual melanoma on the finger and it progressed to hutchinsons sign, would the hutchinsons sign be coloured or amelanotic?

Why this question?: By definition, amelanotic means no melanin, not brown or blue or black. Hutchinson's sign refers to a color change of black or brown from the nail into the adjacent skin. Amelanotic melanoma has no such color. Treatment consists initially of complete amputation of the toe. ...Read more

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I did a search for diagnosis of some of my symptoms and came up with melanoma. What do doctors look for to diagnose it?

I did a search for diagnosis of some of my symptoms and came up with melanoma. What do doctors look for to diagnose it?

Skin exam &biopsy: Melanoma is diagnosed by performing a complete skin exam and by taking a sample (biopsy) of the suspicous areas. The skin biopsy is then examined under a microscope to determine if it is melanoma. See the picture to find out what typical melanoma moles look like. ...Read more

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Most melanomas are brought to a doctor’s attention because of signs or symptoms a person is having. What are they?

Most melanomas are brought to a doctor’s attention because of signs or symptoms a person is having. What are they?

ABCD's: Remember your abcd's when thinking of melanoma. Look for moles with asymmetry boarders that are irregular color differences within the same mole diameter greater than 6mm also any new mole or old that starts to itch, bleed or ulcerate should be of concern. Another rule is the ugly duckling rule. Which refers to a mole that looks distantly different from the others on your body. ...Read more

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What are the symptoms of Melanoma?

What are the symptoms of Melanoma?

Malignant Melanoma.: AAD Malignant Melanoma screening: ASYMMETRY: 1 half is unlike the other. BORDER: irregular, scalloped or poorly defined. COLOR: varied with shades of tan, brown or black; or white, red or blue. DIAMETER: > 6 mm. EVOLVING: mole /skin lesion looks different from the rest or is changing in size, shape or color. An irregular mole that itches, bleeds or is painful is worrisome for possible cancer. ...Read more

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Dr. Travis Kidner
2,635 doctors shared insights

Melanoma (Definition)

A type of cancer that develops from pigment-containing ...Read more


Dr. Creighton Wright
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