Lommatzsch P, Vorpahl K, Bauke G, Klug H
Klin Monbl Augenheilkd. 1979 Jan;174(1):34-40.
An adenoma of the non pigmented epithelium of the ciliary body was supposed to be an irisciliary body melanoma (32P-test positive) and was treated by irido-cyclectomy. Vision acuity remained 0,4 one year after operation. The tumor formed adenoid tubes lined with a cubical or cylindrical epithelium. The cytoplasm of all tumorcells was threaded with compactly arranged tonofilaments. The histopathological examination showed unequivocal the benignant character of this tumor. Nevertheless the tumorcells were infiltrating the deep scleral layer in one place. Also the lens was deformed by the tumor and developed a local opacity in the periphery. It is refered to the difficulty of a clear histopathological distinction between adenomas, adenocarcinomas and pseudo-adenomatous hyperplasia of the ciliary body (Fuchs adenoma).
一个睫状体无色素上皮腺瘤曾被认为是虹膜睫状体黑色素瘤(32P试验阳性),并接受了虹膜睫状体切除术治疗。术后一年视力仍为0.4。肿瘤形成腺样管,内衬立方或柱状上皮。所有肿瘤细胞的细胞质中都有紧密排列的张力丝贯穿。组织病理学检查明确显示该肿瘤具有良性特征。然而,肿瘤细胞在一处浸润到了巩膜深层。此外,晶状体也因肿瘤而变形,并在周边出现局部混浊。这涉及到睫状体腺瘤、腺癌和假腺样增生(富克斯腺瘤)之间清晰的组织病理学区分存在困难。