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TitreMesectodermal leiomyoma: current diagnostic approach and management
ButMesectodermal leiomyoma is a rare benign intraocular tumor, on which mostly only single case reports (nr:~60), based on coincidental histopathological findings, have been published. Clear diagnostic or therapeutic guidelines have not been published yet.
MéthodesWe studied retrospectively 5 consecutive leiomyoma cases, observed or treated since 2001. We present their clinical features, differential diagnostic approach, and management.
RésultatsReferral diagnosis of all cases was uveal melanoma. All tumors were well delineated and originated in the ciliary body (4) or anterior choroid (1). Median thickness was 7.6 mm (4.0-12.6), with low internal reflectivity and a supraciliary/-choroidal location on US examination (UBM/20/10 MHz). Suspicion of leiomyoma (4) or melanocytoma (1) had motivated incisional biopsy as a diagnostic approach. Management consisted of specific surgical incision (3) or periodic observation (2).
ConclusionMesectodermal leiomyoma has distinct clinical features, justifying incisional biopsy before planning further management adapted to its benign nature.
Auteur 1
NomSCHALENBOURG
InitialesA
InstitutJules Gonin Eye Hospital
VilleLausanne (VD), CH
Auteur 2
NomMORMILE
InitialesS
InstitutJules Gonin Eye Hospital
VilleLausanne (VD), CH
Auteur 3
NomUFFER
InitialesS
InstitutJules Gonin Eye Hospital
VilleLausanne (VD), CH
Auteur 4
NomZOGRAFOS
InitialesL
InstitutJules Gonin Eye Hospital
VilleLausanne (VD), CH
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