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Case Study: November 2010
History
A 25 year old male present with visual disturbance. Examination reveals a ciliary body mass. The eye is enucleated.
Figure 1-low power H&E
Fig 2 and Fig 3 are higher power H&E’s
Questions
- What histological features do Figs 2 and 3 reveal?
- What is the diagnosis and differential?
- On Fig 1 what has the tumour caused?
Click to show answers
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- Fantastic Verocay bodies.
- Ciliary body schwannoma. The differential includes melanoma and leiomyoma.
- Limbal staphyloma, iris displacement, lens dislocation, ciliary body effacement.
References
DONOVAN BF. Neurilemoma of the ciliary body.
AMA Arch Ophthalmol. 1956 May;55(5):672-5.
Smith PA, Damato BE, Ko MK, Lyness RW Anterior uveal neurilemmoma–a rare neoplasm simulating malignant melanoma.
Br J Ophthalmol. 1987
Küchle M, Holbach L, Schlötzer-Schrehardt U, Naumann GO.
Schwannoma of the ciliary body treated by block excision.
Br J Ophthalmol. 1994 May;78(5):397-400
