Perri Paolo, Paduano Beatrice, Incorvaia Carlo, Costagliola Ciro, Parmeggiani Francesco, Rossi Sonia, Lamberti Giuseppe, Nenci Italo, Sebastiani Adolfo
Department of Ophthalmology, University of Ferrara, Italy.
Am J Ophthalmol. 2002 Sep;134(3):451-4. doi: 10.1016/s0002-9394(02)01573-8.
To report a mesectodermal leiomyoma of the posterior choroid.
Observational case report.
A 23-year-old man was referred to us because of a progressive blurred vision in his left eye. Ophthalmologic examination revealed the presence of a 12 x 10 x 7.2-mm amelanotic choroidal mass in his left posterior pole. Fluorescein angiography, A-scan ultrasonography, and B-scan echography findings were suggestive for a diagnosis of choroidal amelanotic melanoma. These clinical features prompted us to enucleate the left eye.
Histopathological and immunohistochemistry examinations established a definitive diagnosis of mesectodermal leiomyoma of the posterior choroid.
This case represents the first report describing the occurrence of an intraocular mesectodermal leiomyoma that may exclusively involve the posterior choroid.
报告一例脉络膜后极部中胚叶平滑肌瘤。
观察性病例报告。
一名23岁男性因左眼渐进性视力模糊转诊至我院。眼科检查发现其左后极部有一个12×10×7.2毫米的无色素脉络膜肿物。荧光素血管造影、A超超声检查和B超超声检查结果提示脉络膜无色素黑色素瘤的诊断。这些临床特征促使我们摘除了左眼。
组织病理学和免疫组织化学检查确诊为脉络膜后极部中胚叶平滑肌瘤。
本病例是首例描述眼内中胚叶平滑肌瘤仅累及脉络膜后极部的报告。