Leiomyom – tumor řasnatého tělesa. Kazuistika
Authors:
Karolína Černá 1; Zuzana Hlinomazová 1; Johana Glezgová 2; Kateřina Ambrosová 3,4
Authors‘ workplace:
Lexum a. s.
1; Oční klinika Všeobecné fakultní nemocnice v Praze a 1. lékařské fakulty Univerzity Karlovy
2; Oblastní nemocnice Mladá Boleslav, a. s., nemocnice Středočeského kraje
3; Laboratoř patologie a klinické cytologie Unilabs Pathology k. s., Laboratoř Praha
4
Published in:
Čes. a slov. Oftal., 80, 2024, No. Ahead of print, p. 1-6
Category:
Case Report
doi:
https://doi.org/10.31348/2024/30
Overview
Cíl: Prezentovat vzácný případ leiomyomu řasnatého tělesa naší pacientky.
Kazuistika: 72letá pacientka přichází na preventivní vyšetření do naší ambulance, kde nalézáme v periferii sítnice kopulovitý šedo-hnědavý útvar. Po doplnění gonioskopického a ultrazvukového vyšetření posíláme pacientku na pracoviště vyššího typu. Pro nález suspektního maligního melanomu doplňujeme vyšetření magnetické rezonance a doporučujeme enukleaci bulbu. Histopatologické vyšetření prokazuje leiomyom řasnatého tělesa.
Závěr: Cílem kazuistiky je demonstrovat obtížnost diagnostiky nitroočního leiomyomu. Až imunohistochemické vyšetření odlišilo tumor od maligního melanomu a ukázalo na diagnózu leiomyomu řasnatého tělesa. Možná i pro extrémní vzácnost tohoto typu nádoru na diagnózu leiomyomu málo pomýšlíme.
Klíčová slova:
melanom – Leiomyom – řasnaté těleso – nitrooční nádor
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