Uveal melanoma classification: Difference between revisions

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{{CMG}}{{AE}} {{Fs}}, {{Simrat}}
{{CMG}}{{AE}} {{Fs}}, {{Simrat}}
==Overview==
==Overview==
Uveal melanoma may be classified according to cell type into 5 subtypes: Spindle A, spindle B, epitheliolid, mixed, and necrotic. Uveal melanoma may also be classified according to its location into 2 types, anterior uveal melanoma which contain iris melanoma, and posterior uveal melanoma which contains ciliary bode melanoma and chroidal melanoma.
[[Uvea (anatomy)|Uveal]] [[melanoma]] may be classified according to [[Cell (biology)|cell]] type into 5 subtypes: [[Spindle cells|Spindle]] A, [[Spindle cells|spindle]] B, epitheliolid, mixed, and [[necrotic]]. [[Uvea (anatomy)|Uveal]] [[melanoma]] may also be classified according to its location into 2 types, anterior [[Uvea (anatomy)|uveal]] [[melanoma]] which contain [[iris]] [[melanoma]], and posterior [[Uvea (anatomy)|uveal]] [[melanoma]] which contains [[ciliary body]] [[melanoma]] and chroidal [[melanoma]].


==Classification==
==Classification==
Uveal melanoma may be classified according to cell type into 5 subtypes: Spindle A, spindle B, epitheliolid, mixed, and necrotic.<ref name="McLeanFoster1983">{{cite journal|last1=McLean|first1=Ian W.|last2=Foster|first2=Walter D.|last3=Zimmerman|first3=Lorenz E.|last4=Gamel|first4=John W.|title=Modifications of Callender's Classification of Uveal Melanoma at the Armed Forces Institute of Pathology|journal=American Journal of Ophthalmology|volume=96|issue=4|year=1983|pages=502–509|issn=00029394|doi=10.1016/S0002-9394(14)77914-0}}</ref>
[[Uvea (anatomy)|Uveal]] [[melanoma]] may be classified according to [[Cell (biology)|cell]] type into 5 subtypes: [[Spindle cells|Spindle]] A, [[Spindle cells|spindle]] B, epitheliolid, mixed, and [[necrotic]].<ref name="McLeanFoster1983">{{cite journal|last1=McLean|first1=Ian W.|last2=Foster|first2=Walter D.|last3=Zimmerman|first3=Lorenz E.|last4=Gamel|first4=John W.|title=Modifications of Callender's Classification of Uveal Melanoma at the Armed Forces Institute of Pathology|journal=American Journal of Ophthalmology|volume=96|issue=4|year=1983|pages=502–509|issn=00029394|doi=10.1016/S0002-9394(14)77914-0}}</ref>


{|
{|
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! style="background: #DCDCDC; text-align: center;" |Spindle A
! style="background: #DCDCDC; text-align: center;" |Spindle A
| style="background: #F5F5F5;" |
| style="background: #F5F5F5;" |
* Fine nuclear chromatin
* Fine [[nuclear]] [[chromatin]]


* Cells with small spindle nuclei and central dark stripe
*[[Cell (biology)|Cells]] with small spindle nuclei and central dark stripe
* No distinct nucleoli
* No distinct [[nucleoli]]
* Rare mitotic features
* Rare [[mitotic]] features
|-
|-
! style="background: #DCDCDC; text-align: center;" |Spindle B
! style="background: #DCDCDC; text-align: center;" |Spindle B
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* Commen
* Commen


* Coarse nuclear chromatin
* Coarse [[nuclear]] [[chromatin]]
* Distinct nucleoli
* Distinct [[nucleoli]]
* Rare mitotic features
* Rare [[mitotic]] features


|-
|-
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| style="background: #F5F5F5;" |
| style="background: #F5F5F5;" |
* Rarest
* Rarest
* Large round nuclei
* Large round [[nuclei]]
* Prominent nucleoli
* Prominent [[nucleoli]]
* Mitotic features are common
*[[Mitotic]] features are common
|-
|-
! style="background: #DCDCDC; text-align: center;" |Mixed
! style="background: #DCDCDC; text-align: center;" |Mixed
| style="background: #F5F5F5;" |
| style="background: #F5F5F5;" |
* Most common
* Most common
* Contains both spindle cells and epithelioil cells
* Contains both [[spindle cells]] and epithelioil cells
|-
|-
! style="background: #DCDCDC; text-align: center;" |Necrotic
! style="background: #DCDCDC; text-align: center;" |Necrotic
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* uncommon
* uncommon


* Necrotic tumore with unidentifiable cell type
*[[Necrotic]] [[tumor]] with unidentifiable [[cell]] type
|}  
|}  


Uveal melanoma may also be classified according to its location into 2 types:
[[Uvea (anatomy)|Uveal]] [[melanoma]] may also be classified according to its location into 2 types:
* Anterior uveal melanoma
* Anterior [[Uvea (anatomy)|uveal]] [[melanoma]]
** Iris melanoma
**[[Iris]] [[melanoma]]
* Posterior uveal melanoma
* Posterior [[Uvea (anatomy)|uveal]] [[melanoma]]
** Ciliary body  melanoma
**[[Ciliary body]] [[melanoma]]
** Chroidal melanoma
** Chroidal [[melanoma]]
 
[[File:Untitledd.png|500px|none|thumb|source: {{Fs}}]]
[[File:Untitledd.png|500px|none|thumb|source: {{Fs}}]]



Latest revision as of 17:11, 1 July 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D., Simrat Sarai, M.D. [2]

Overview

Uveal melanoma may be classified according to cell type into 5 subtypes: Spindle A, spindle B, epitheliolid, mixed, and necrotic. Uveal melanoma may also be classified according to its location into 2 types, anterior uveal melanoma which contain iris melanoma, and posterior uveal melanoma which contains ciliary body melanoma and chroidal melanoma.

Classification

Uveal melanoma may be classified according to cell type into 5 subtypes: Spindle A, spindle B, epitheliolid, mixed, and necrotic.[1]

Cell type Explanation
Spindle A
Spindle B
  • Commen
Epithelioid
Mixed
Necrotic
  • uncommon

Uveal melanoma may also be classified according to its location into 2 types:

source: Fahimeh Shojaei, M.D.

References

  1. McLean, Ian W.; Foster, Walter D.; Zimmerman, Lorenz E.; Gamel, John W. (1983). "Modifications of Callender's Classification of Uveal Melanoma at the Armed Forces Institute of Pathology". American Journal of Ophthalmology. 96 (4): 502–509. doi:10.1016/S0002-9394(14)77914-0. ISSN 0002-9394.

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