Muiños Díaz Y, Saornil Alvarez M A, Méndez Díaz M C, Blanco Mateos G, Becerra Aguiar E, Esteban Casado M R, Pastor Jimeno J C
Servicio de Oftalmología, Unidad de Oncología Ocular, Hospital Universitario de Valladolid, Spain.
Arch Soc Esp Oftalmol. 2004 Oct;79(10):511-4. doi: 10.4321/s0365-66912004001000008.
A 33 year-old female with an asymptomatic pigmented mass in the iridocorneal angle of her right eye, arising from the ciliary body is presented. Ciliary body melanocytoma was suspected and conservative management recommended. After 36 months of follow-up the patient developed pain, inflammatory reaction and uncontrollable ocular hypertension, which was diagnosed as melanocytomalytic glaucoma. Tumor was removed by external iridecyclectomy and the histopathologic findings revealed necrotic melanocytoma.
Ciliary body melanocytoma is a rare benign pigmented tumor that may present extension to the anterior chamber. Differential diagnosis mainly includes ciliary body melanoma, which carries a different prognosis and treatment.
本文介绍了一名33岁女性,其右眼虹膜角膜角有一个无症状色素性肿物,起源于睫状体。怀疑为睫状体黑素细胞瘤,建议采取保守治疗。随访36个月后,患者出现疼痛、炎症反应和无法控制的高眼压,被诊断为黑素溶解性青光眼。通过外路虹膜睫状体切除术切除肿瘤,组织病理学检查结果显示为坏死性黑素细胞瘤。
睫状体黑素细胞瘤是一种罕见的良性色素性肿瘤,可能向前房扩展。鉴别诊断主要包括睫状体黑色素瘤,其预后和治疗方法不同。