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Acta Cytol. 2008 Jan-Feb;52(1):87-90.

Cytologic diagnosis of ocular melanocytoma: a case report.

Author information

1
Cytopathology Section, Department of Pathology, Hospital de la Santa Creu i Sant Pau, Spain.

Abstract

BACKGROUND:

Pigmented lesions of the eye represent a challenging field from both clinical and pathologic approaches. The importance of a correct diagnosis in this case is enhanced by the delicate structures involved and their difficult accessibility.

CASE:

We report a case of a 51-year-old man with acute vision loss and the feeling of a foreign body in the left eye diagnosed with vitreous hemorrhage. A small, pigmented lesion in the proximity of optic nerve head was detected. After a 9-year follow-up, a definitive diagnosis of melanocytoma was achieved in vitrectomy cytology. Smears showed a population of plump, cohesive melanocytes and elongated cells with cytoplasmic melanin and uniform rounded nuclei. No change in the lesion has occurred 3 years after vitrectomy.

CONCLUSION:

Fine needle aspiration proved to be helpful and reliable for the correct diagnosis of melanocytoma, which does not require additional treatment.

PMID:
18323281
DOI:
10.1159/000325440
[Indexed for MEDLINE]

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