![]() ![]() definitive mushroom shape with overhang)Ģ = Confluent (i.e. The MOLES scoring system for categorising melanocytic choroidal tumours according to likelihood of malignancy Indicatorġ = Incipient (erosion through RPE) / uncertain)Ģ = Present (i.e. local pathways defining referral criteria based on MOLES have been developed and should be followed where available MOLES score ≥3 is defined as “probable melanoma” Alternatively, use the MOLES scoring system.thickness greater than 1.5mm (or LBD greater than 6mm).thickness greater than 2.0mm (or LBD greater than 7mm).patients with a suspicious melanocytic choroidal tumour having.Urgent (within two weeks, in accordance with the Suspected CANcer pathway, SCAN) referral to ophthalmologist (RCOphth guidance): MOLES has been validated in an ocular oncology setting and shows a high sensitivity for indicating malignancy.Ī3 (modified): Probable melanoma.Tumours are diagnosed according to the sum of these five scores as: Each feature is scored 0, 1, or 2 depending on whether they are absent, borderline/uncertain, or present. ![]()
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