Leiomyom – tumor řasnatého tělesa. Kazuistika

Leiomyoma – Ciliary Body Tumor. A Case Report

Aim: 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.

Conclusion: 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.

Keywords:

melanoma – Leiomyoma – ciliary body – intraocular tumor

Autori: Karolína Černá ¹; Zuzana Hlinomazová ¹; Johana Glezgová ²; Kateřina Ambrosová ^3,4
Pôsobisko autorov: Lexum a. s. ¹; Oční klinika Všeobecné fakultní nemocnice v Praze a 1. lékařské fakulty Univerzity Karlovy ²; Oblastní nemocnice Mladá Boleslav, a. s., nemocnice Středočeského kraje ³; Laboratoř patologie a klinické cytologie Unilabs Pathology k. s., Laboratoř Praha ⁴
Vyšlo v časopise: Čes. a slov. Oftal., 80, 2024, No. Ahead of print, p. 1-6
Kategória: Kazuistika
doi: https://doi.org/10.31348/2024/30

Súhrn

Cíl: Prezentovat vzácný případ leiomyomu řasnatého tělesa naší pacientky.

Kazuistika: 72letá pacientka přichází na preventivní vyšetření do naší ambulance, kde nalézáme v periferii sítnice kopulovitý šedo-hnědavý útvar. Po doplnění gonioskopického a ultrazvukového vyšetření posíláme pacientku na pracoviště vyššího typu. Pro nález suspektního maligního melanomu doplňujeme vyšetření magnetické rezonance a doporučujeme enukleaci bulbu. Histopatologické vyšetření prokazuje leiomyom řasnatého tělesa.

Závěr: Cílem kazuistiky je demonstrovat obtížnost diagnostiky nitroočního leiomyomu. Až imunohistochemické vyšetření odlišilo tumor od maligního melanomu a ukázalo na diagnózu leiomyomu řasnatého tělesa. Možná i pro extrémní vzácnost tohoto typu nádoru na diagnózu leiomyomu málo pomýšlíme.

Klíčová slova:

melanom – Leiomyom – řasnaté těleso – nitrooční nádor

Zdroje

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