Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium

We report the rare case of an adenoma of the nonpigmented ciliary epithelium (NPCE). A 67-year-old healthy man presented with a regularly shaped and nonpigmented mass at the iris root of his right eye. His best-corrected visual acuity was 1.5 with normal intraocular pressure. During observation, the...

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Main Authors: Kentaro Ishiahara, Noriyasu Hashida, Kazunobu Asao, Shinichi Usui, Kazuichi Maruyama, Kohji Nishida
Format: Article
Language:English
Published: Karger Publishers 2019-02-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/497033
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author Kentaro Ishiahara
Noriyasu Hashida
Kazunobu Asao
Shinichi Usui
Kazuichi Maruyama
Kohji Nishida
author_facet Kentaro Ishiahara
Noriyasu Hashida
Kazunobu Asao
Shinichi Usui
Kazuichi Maruyama
Kohji Nishida
author_sort Kentaro Ishiahara
collection DOAJ
description We report the rare case of an adenoma of the nonpigmented ciliary epithelium (NPCE). A 67-year-old healthy man presented with a regularly shaped and nonpigmented mass at the iris root of his right eye. His best-corrected visual acuity was 1.5 with normal intraocular pressure. During observation, the size of the tumor remained stable for 1.5 years but then rapidly grew, extending through the iris, and gradually enlarged to the point of compressing the iris. Ultimately, an iridocyclectomy with scleral resection under a lamellar scleral flap was performed. The histopathologic features of the resected tissue were consistent with adenoma of the NPCE. Histopathological analysis showed that the tumor consisted of both tubular and solid components. There were solid lesions inside of the ciliary epithelium and tubular lesions outside. We observed positive immunoreactivity to vimentin and cytokeratin CK (AE1/AE3) and negative reactivity to S-100 and CD68, both rarely associated with adenoma of NPCE. During 1 year of follow-up after the iridocyclectomy, no signs of tumor recurrence were observed.
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spelling doaj.art-acf9ca8f40344575afa51878060b4a1a2022-12-21T18:15:56ZengKarger PublishersCase Reports in Ophthalmology1663-26992019-02-01101758010.1159/000497033497033Rare Histological Type of Adenoma of the Nonpigmented Ciliary EpitheliumKentaro IshiaharaNoriyasu HashidaKazunobu AsaoShinichi UsuiKazuichi MaruyamaKohji NishidaWe report the rare case of an adenoma of the nonpigmented ciliary epithelium (NPCE). A 67-year-old healthy man presented with a regularly shaped and nonpigmented mass at the iris root of his right eye. His best-corrected visual acuity was 1.5 with normal intraocular pressure. During observation, the size of the tumor remained stable for 1.5 years but then rapidly grew, extending through the iris, and gradually enlarged to the point of compressing the iris. Ultimately, an iridocyclectomy with scleral resection under a lamellar scleral flap was performed. The histopathologic features of the resected tissue were consistent with adenoma of the NPCE. Histopathological analysis showed that the tumor consisted of both tubular and solid components. There were solid lesions inside of the ciliary epithelium and tubular lesions outside. We observed positive immunoreactivity to vimentin and cytokeratin CK (AE1/AE3) and negative reactivity to S-100 and CD68, both rarely associated with adenoma of NPCE. During 1 year of follow-up after the iridocyclectomy, no signs of tumor recurrence were observed.https://www.karger.com/Article/FullText/497033Ciliary tumorNonpigmented ciliary epitheliumAdenomaIris
spellingShingle Kentaro Ishiahara
Noriyasu Hashida
Kazunobu Asao
Shinichi Usui
Kazuichi Maruyama
Kohji Nishida
Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
Case Reports in Ophthalmology
Ciliary tumor
Nonpigmented ciliary epithelium
Adenoma
Iris
title Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
title_full Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
title_fullStr Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
title_full_unstemmed Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
title_short Rare Histological Type of Adenoma of the Nonpigmented Ciliary Epithelium
title_sort rare histological type of adenoma of the nonpigmented ciliary epithelium
topic Ciliary tumor
Nonpigmented ciliary epithelium
Adenoma
Iris
url https://www.karger.com/Article/FullText/497033
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