Nevus vs. Melanoma: The TFSOM-UHHD Rule 👁️📝 ​ Distinguishing a suspicious choroidal nevus from a small melanoma is one of the most critical skills in Ocular Oncology. ​We rely on the TFSOM-UHHD mnemonic to estimate the risk of growth. ​The presence of 3 or more factors indicates a >50% probability of growth into melanoma within 5 years. 📈 ​The Breakdown: 📏 T: Thickness > 2 mm 💧 F: Fluid (Subretinal) ⚠️ S: Symptoms (Flashes/Floaters) cx O: Orange Pigment (Lipofuscin) 🎯 M: Margin
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