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K. Ndulue J, Mashayekhi A, L. Shields C. Ciliary Body Seeding after Pars Plana Transvitreal Fine-Needle Aspiration Biopsy of Choroidal Melanoma. JOVR [Internet]. 2020Apr.6 [cited 2024Jul.17];15(2):252–255. Available from: https://knepublishing.com/index.php/JOVR/article/view/6744

https://doi.org/10.18502/jovr.v15i2.6744

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authors

  • Jideofor K. Ndulue

    Jideofor K. Ndulue

    Wills Eye Hospital, Ocular Oncology Service, Philadelphia, PA, USA
  • Arman Mashayekhi

    Arman Mashayekhi

    Wills Eye Hospital, Ocular Oncology Service, Philadelphia, PA, USA
    https://orcid.org/0000-0002-1739-1322
  • Carol L. Shields

    Carol L. Shields

    Wills Eye Hospital, Ocular Oncology Service, Philadelphia, PA, USA

Published Date

  • Apr 6, 2020
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Ciliary Body Seeding after Pars Plana Transvitreal Fine-Needle Aspiration Biopsy of Choroidal Melanoma

Journal of Ophthalmic and Vision Research (JOVR) / April–June 2020, Volume 15, Issue 2 / Pages 252–255

Abstract

Purpose: To report ciliary body seeding 20 years after pars plana transvitreal fine needle aspiration biopsy (FNAB) of choroidal melanoma.


Case Report: 67-year-old man with choroidal melanoma in left eye was previously managed with pars plana FNAB using a 25-gauge needle followed by plaque radiotherapy. Twenty years later, choroidal melanoma was regressed but there was a small flat focus of scleral pigment 3.0mm from the limbus at the FNAB site. Ultrasound biomicroscopy showed a contiguous ciliary body mass measuring 3.1mm in thickness. Tumor seeding in the anterior chamber angle was noted inferiorly. These findings suggested melanoma recurrence along the needle tract. Treatment was performed with Iodine-125 radioactive plaque covering entire anterior segment and ciliary body recurrence. The tumor regressed to 2.2mm over one year.


Conclusion: Pars plana transvitreal FNAB of choroidal melanoma resulted in needle tract seeding in ciliary body and episcleral region 20 years later.

Keywords:

Choroid, Ciliary Body, Extraocular Extension, Fine-Needle Aspiration Biopsy, Melanoma, Seeding

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