A Choroidal Schwannoma Confirmed by Surgical Excision.
- Author:
Young Jae CHO
1
;
Jung Bin WON
;
Suk Ho BYEON
;
Woo Ik YANG
;
Hyoung Jun KOH
;
Oh Woong KWON
;
Sung Chul LEE
Author Information
- Publication Type:Case Report
- Keywords: Schwannoma; Sclerouvectomy; Enucleation
- MeSH: Adult; Choroid/*pathology; Choroid Neoplasms/*diagnosis/surgery; Diagnosis, Differential; Eye Enucleation/*methods; Female; Humans; Magnetic Resonance Imaging; Neurilemmoma/*diagnosis/surgery
- From:Korean Journal of Ophthalmology 2009;23(1):49-52
- CountryRepublic of Korea
- Language:English
- Abstract: Schwannomas rarely present as intraocular tumors and are often misdiagnosed as malignant melanoma. We describe a choroidal schwannoma confirmed by sclerouvectomy. A 30-year-old woman presented with a large nonpigmented intraocular mass of the choroid in the right eye and underwent surgical excision by sclerouvectomy. Histologically, the tumor was composed of a mixture of cellular solid components (Antoni A) and loose myxoid components (Antoni B). The tumor was eventually diagnosed as a schwannoma. Currently available ancillary studies are still of little value in definitively differentiating schwannomas from other choroidal tumors. In the case of atypical findings for a malignant melanoma, a benign neoplasm should be included in the differential diagnosis. This patient avoided enucleation by first having the mass excised. We are unaware of previous reports in which a choroidal schwannoma was diagnosed by surgical excision.
