Gallego Y, Mendicute J, Ruiz M, Ruiz I, Ubeda M
Hospital Donostia, San Sebastián, España.
Arch Soc Esp Oftalmol. 2005 Feb;80(2):109-12. doi: 10.4321/s0365-66912005000200010.
We report the case of a 25 year old woman who attended our Hospital with a pigmented lesion in anterior chamber angle of her right eye. She complained of reduced visual acuity on the same eye. On examination, and once complementary tests were performed, a pigmented lesion located on the iris root and ciliary body of her right eye was confirmed. A decision to perform a local resection was made and there were no surgical complication. Histology results confirmed the diagnosis of ciliary body melanocytoma.
Ciliary body melanocytoma is a benign rare lesion with only 40 cases described in the literature. A local resection of this benign lesion should be considered as alternative to enucleation, even though differential diagnosis with malignant melanoma must also be considered.
我们报告一例25岁女性患者,她因右眼前房角色素沉着病变前来我院就诊。她主诉患眼视力下降。经检查及完成相关辅助检查后,确诊其右眼虹膜根部和睫状体有色素沉着病变。决定进行局部切除术,且未出现手术并发症。组织学检查结果确诊为睫状体黑素细胞瘤。
睫状体黑素细胞瘤是一种罕见的良性病变,文献中仅报道过40例。对于这种良性病变,即使必须考虑与恶性黑色素瘤进行鉴别诊断,也应考虑将局部切除术作为眼球摘除术的替代方案。