This viva contains pathology questions for final MRCOphth candidates.
The above specimens are taken from choroidal melanoma. What cell type is shown in each slide? Answer I = epitheloid cells. Circular cells with round nuclei and distinct nucleoli. II = spindle B cells. The nuclei are oval with prominent nucleoli. III = spindle A cells. The nuclei are long and cigar-shaped with disperse chromatin and indistinct nucleoli. Longitudinal nuclear fold is common as seen here. Which one has the best and worst prognosis? Answer Spindle cell type A (III) has the best prognosis and epitheloid cell (I) has the worst prognosis End of Viva 7
What cell type is shown in each slide?
Answer I = epitheloid cells. Circular cells with round nuclei and distinct nucleoli. II = spindle B cells. The nuclei are oval with prominent nucleoli. III = spindle A cells. The nuclei are long and cigar-shaped with disperse chromatin and indistinct nucleoli. Longitudinal nuclear fold is common as seen here.
Which one has the best and worst prognosis?
Answer Spindle cell type A (III) has the best prognosis and epitheloid cell (I) has the worst prognosis