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Ophthalmology General 26742ad0

Which of the following is NOT of prognostic significance in choroidal melanoma?

A
Presence of retinal detachment
B
Size of the tumor
C
Cytology of the tumor cells
D
Presence of extraocular extension
High-Yield Explanation
Presence of retinal detachment is not a prognostic feature of choroidal melanoma. There are clinical and histopathological prognostic factors which determine survival in patients with choroidal melanoma. Clinical prognostic factors indicating poor prognosis includes: large basal tumor diameter, anteriorly situated tumor, advanced age of patient, extraocular extension, male gender and ring melanoma. Histological poor prognostic factors includes: presence of predominant epithelioid cells in tumor, lymphocytic infiltration, presence of mitotic activity, and presence of vascular loops. Ref: Postgraduate Ophthalmology, Volume 1 edited by Zia Chaudhuri, page 1441.

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