Department of Ophthalmology, Jichi Ika Daigaku Fuzoku Saitama Iryo Center, Saitama, Japan.
Department of Ophthalmology, Jichi Ika Daigaku Fuzoku Saitama Iryo Center, Saitama, Japan
BMJ Case Rep. 2022 Dec 29;15(12):e252691. doi: 10.1136/bcr-2022-252691.
Granular cell tumours (GCTs) are benign tumours that rarely develop in intraocular regions. We report a rare case of intraocular GCT in the ciliary body. A woman in her 20s with a history of bone marrow transplantation for malignant lymphoma in early childhood was referred to our department for bilateral proliferative diabetic retinopathy. A yellowish-white ciliary tumour was observed in the temporal periphery of the patient's left eye during routine ophthalmological examination. As the tumour enlarged, we performed total resection combined with vitrectomy, silicone oil tamponade and cataract surgery. Histopathological examination revealed tumour cells with small, round or oval nuclei with eosinophilic cytoplasm. Positive immunohistochemical staining for S-100 and vimentin led to a diagnosis of ciliary GCT. No retinal detachment, proliferative membrane formation or tumour recurrence was observed 4 years postoperatively. Intraocular GCT should be considered a differential diagnosis of ciliary tumours.
颗粒细胞瘤(GCT)是一种罕见的良性肿瘤,很少发生在眼内区域。我们报告了一例罕见的睫状体部眼内 GCT。一位 20 多岁的女性,因幼年恶性淋巴瘤行骨髓移植,因双眼增殖性糖尿病性视网膜病变就诊于我科。在常规眼科检查中,发现患者左眼颞侧周边有一黄白色睫状体肿瘤。随着肿瘤的增大,我们行肿瘤全切除联合玻璃体切除术、硅油填充和白内障手术。组织病理学检查显示肿瘤细胞具有小而圆或椭圆形核,嗜酸性细胞质。S-100 和波形蛋白免疫组织化学染色阳性,诊断为睫状体 GCT。术后 4 年,未见视网膜脱离、增殖膜形成或肿瘤复发。眼内 GCT 应考虑为睫状体肿瘤的鉴别诊断。