Uveal melanoma physical examination

Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma.

• Patients with uveal melanoma usually appear normal.

• Patients with uveal melanoma usually present with normal vital signs.

• Skin examination of patients with uveal melanoma is usually normal.^[1]

• Skin nevus or melanoma

• Evidence of trauma
• Pupils reactive to light and reactive to accommodation
• Ophthalmoscopic exam may be abnormal with findings of :
  • Iris melanoma:
    • Circumscribed nodule mostly in the inferior half of the iris
    • Different in size
    • Yellow or brown in color
  • Chroidal melanoma:
    • Nodular mass under the retinal pigment
    • Diffuse with less elevation
    • Abnormal vascularization
  • Ciliary body melanoma:
    • Sentinel vessel
    • Unilateral low intraocular pressure

• Neck examination of patients with uveal melanoma is usually normal.

• Pulmonary examination of patients with uveal melanoma is usually normal.

• Cardiovascular examination of patients with uveal melanoma is usually normal.

• Abdominal examination of patients with uveal melanoma is usually normal.

• Back examination of patients with uveal melanoma is usually normal.

• Genitourinary examination of patients with uveal melanoma is usually normal.

• Neuromuscular examination of patients with uveal melanoma is usually normal.

• Extremities examination of patients with uveal melanoma is usually normal.

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