Abstract
To describe the clinical and imaging characteristics, pathologic features, and management options of retinal pigment epithelium (RPE) adenoma/adenocarcinoma. Retrospective case series. Fifty-one patients with RPE adenoma/adenocarcinoma. Treatment options for the patients included observation, partial lamellar sclerouvectomy (PLSU), enucleation, and others. Factors related to visual acuity (VA) outcomes (>2 Snellen lines loss, poor final VA [≤20/200], good final vision [≥20/40]), tumor growth, and need for enucleation. The mean patient age at diagnosis was 51 years, and the majority of patients were white (40/51, 78%) and female (34/51, 67%). Primary management included observation (29/51, 57%), PLSU (9/51, 18%), enucleation (4/51, 8%), or others (9/51, 18%). Outcomes revealed decreased VA (10/32, 31%), poor final VA (17/32, 53%), good final VA (11/32, 34%), tumor growth (12/25, 48%), and need for enucleation (7/51, 14%). By multivariable analysis, features predictive of decreased VA included increasing baseline tumor thickness (P= 0.01) and presence of vitreous hemorrhage (P= 0.05). Factors predictive of poor final VA included presence of exudative retinal detachment (P= 0.004), baseline VA 20/50 to 20/150 (P= 0.008), and baseline VA ≤20/200 (P= 0.01). Absence of feeding and/or draining vessel was predictive of good VA (P= 0.004). Tumor growth was associated with multiple treatments (P= 0.02). Increased tumor thickness (P= 0.03) and presence of exudative retinal detachment (P= 0.01) were predictive of enucleation. RPE adenoma/adenocarcinoma can simulate choroidal melanoma. Greater tumor thickness, vitreous hemorrhage, exudative retinal detachment, and poor baseline VA predict worse visual outcome and greater risk for enucleation.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.