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September 1986

Spontaneous Regression of a Choroidal Melanoma?-Reply

Author Affiliations

San Francisco

Arch Ophthalmol. 1986;104(9):1273. doi:10.1001/archopht.1986.01050210026006

In Reply.  —In the above letter to the editor, which discusses our article entitled "Spontaneous Regression of a Choroidal Melanoma," it is suggested that either a choroidal melanoma was not present in 1969 or, alternatively, that it did not regress.1While it is impossible to be certain, without histopathologic confirmation, that the lesion first observed in 1969 was a choroidal melanoma, this is the most tenable diagnosis, given both the clinical appearance and behavior of the mass. Several observers, including an ocular oncologist, noted an elevated mass in 1969 to 1970. These specialists observed only a flat choroidal scar in the region of the previously elevated choroidal mass on examinations in 1977 and 1979. Although a serous retinal detachment overlying the choroidal mass may have been partially responsible for its elevated appearance in 1970, it is difficult to explain the disappearance of the pigmented mass, as observed in the

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