Oman Journal of Ophthalmology

CASE REPORT
Year
: 2013  |  Volume : 6  |  Issue : 1  |  Page : 48--50

Multicavitary ciliary body melanoma presenting as a cyst


Jennifer Jang1, Swathi Kaliki2, Ralph C Eagle4, Jerry A Shields1, Carol L Shields1 
1 Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA
2 Ocular Oncology Service; Department of Pathology, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA

Correspondence Address:
Carol L Shields
Ocular Oncology Service, Suite 1440, Wills Eye Institute, 840 Walnut Street, Philadelphia, PA 19107
USA

Cyst-like cavities in uveal melanoma occur rarely and can simulate a benign intraocular cystic lesion resulting in delayed diagnosis and inappropriate management. Herein, we describe a 66-year-old Caucasian female who presented with a DQcysticDQ ciliary body mass in the right eye oculus dexter (OD). Slit lamp examination OD showed anterior bulging of the iris temporally from an underlying pigmented ciliary body mass and transillumination disclosed slight shadow from the tumor. Ultrasound biomicroscopy (UBM) revealed multiple cyst-like cavities within a tumor, lined by DQthick wallsDQ of at least 200 μm and occupying 80% of the tumor volume. A clinical diagnosis of multi-cavitary ciliary body melanoma was suspected and partial lamellar sclero iridocyclectomy was performed. Histopathology confirmed the diagnosis of low-grade spindle melanoma of the ciliary body with multiple empty and fluid filled cyst-like cavities without epithelial lining. UBM is an important diagnostic tool in the differentiation of DQthick walledDQ cavitary melanoma from DQthin walledDQ benign pigment epithelial cyst.


How to cite this article:
Jang J, Kaliki S, Eagle RC, Shields JA, Shields CL. Multicavitary ciliary body melanoma presenting as a cyst.Oman J Ophthalmol 2013;6:48-50


How to cite this URL:
Jang J, Kaliki S, Eagle RC, Shields JA, Shields CL. Multicavitary ciliary body melanoma presenting as a cyst. Oman J Ophthalmol [serial online] 2013 [cited 2020 Jul 5 ];6:48-50
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2013;volume=6;issue=1;spage=48;epage=50;aulast=Jang;type=0