Department of Ultrasound, Zhuhai People's Hospital, Zhuhai, Guangdong, China.
Department of Pathology, Zhuhai People's Hospital, Zhuhai, Guangdong, China.
Eur J Ophthalmol. 2022 Jan;32(1):NP203-NP207. doi: 10.1177/1120672120959030. Epub 2020 Sep 22.
Glomus tumours are rare benign tumours formed by modified smooth muscle cells arising from the glomus body. Glomus tumours occurring in the iris have not been previously reported.
A 32-year-old woman presented with a 9-day history of blurred vision in her right eye. Ultrasound, computed tomography and magnetic resonance imaging confirmed the presence of a mass lesion within the iris. Surgery of the iris was performed and the tumour was removed. Histopathological analysis confirmed a glomus tumour. The patient remains clinically stable 5 months following surgery and has experienced no tumour recurrence.
The findings from this case suggest that the typical symptoms of a glomus tumour may be absent in some cases, and that imaging examinations can help in understanding the extent of the lesion and the involvement of adjacent structures. Moreover, pathology and immunohistochemistry are crucial to confirm the diagnosis.
血管球瘤是由源自血管球的平滑肌细胞发生变异而形成的罕见良性肿瘤。虹膜中的血管球瘤以前未有报道。
一名 32 岁女性,因右眼视力模糊 9 天就诊。超声、计算机断层扫描和磁共振成像证实虹膜内存在肿块病变。行虹膜手术切除肿瘤。组织病理学分析证实为血管球瘤。术后 5 个月患者临床情况稳定,无肿瘤复发。
该病例提示,血管球瘤的一些典型症状可能不存在,影像学检查有助于了解病变范围和邻近结构的受累情况。此外,病理和免疫组化检查对明确诊断至关重要。