Cesk Slov Oftalmol. 2024;80(5):273-278. doi: 10.31348/2024/30.
To demonstrate a rare case of ciliary body leiomyoma in our patient Case report: A 72-year-old female reported to our clinic for a preventive examination, upon which we found a dome-shaped grey-brownish mass on the retinal periphery. After completing gonioscopic and ultrasound examinations, we referred the patient to a specialist facility. Due to a finding of suspicious malignant melanoma, we completed the MRI scan and recommended enucleation of the eyeball. A histopathological examination showed a leiomyoma of the ciliary body.
The aim of this case report is to demonstrate the difficulty of intraocular leiomyoma diagnosis. Only immunohistochemical examination differentiated the tumor from malignant melanoma and determined the diagnosis of ciliary body leiomyoma. Perhaps because of the extreme rarity of this type of tumor, we often neglect to consider a diagnosis of leiomyoma.
在我们的患者中展示一例罕见的睫状体平滑肌瘤。
一位 72 岁女性因预防性检查就诊于我科,我们发现其视网膜周边有一丘状的灰棕色肿块。在完成房角镜和超声检查后,我们将患者转介至专科医院。由于疑似恶性黑色素瘤,我们完成了 MRI 扫描并建议眼球摘除。组织病理学检查显示为睫状体平滑肌瘤。
本病例报告的目的是展示眼内平滑肌瘤诊断的困难。只有免疫组织化学检查才能将肿瘤与恶性黑色素瘤区分开来,并确定睫状体平滑肌瘤的诊断。也许是因为这种类型的肿瘤极为罕见,我们常常忽略了对平滑肌瘤的诊断。