Granular cell tumour in the ciliary body

BMJ Case Rep. 2022 Dec 29;15(12):e252691. doi: 10.1136/bcr-2022-252691.

Abstract

Granular cell tumours (GCTs) are benign tumours that rarely develop in intraocular regions. We report a rare case of intraocular GCT in the ciliary body. A woman in her 20s with a history of bone marrow transplantation for malignant lymphoma in early childhood was referred to our department for bilateral proliferative diabetic retinopathy. A yellowish-white ciliary tumour was observed in the temporal periphery of the patient's left eye during routine ophthalmological examination. As the tumour enlarged, we performed total resection combined with vitrectomy, silicone oil tamponade and cataract surgery. Histopathological examination revealed tumour cells with small, round or oval nuclei with eosinophilic cytoplasm. Positive immunohistochemical staining for S-100 and vimentin led to a diagnosis of ciliary GCT. No retinal detachment, proliferative membrane formation or tumour recurrence was observed 4 years postoperatively. Intraocular GCT should be considered a differential diagnosis of ciliary tumours.

Keywords: Iris; Retina.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Ciliary Body
  • Female
  • Granular Cell Tumor* / diagnosis
  • Granular Cell Tumor* / surgery
  • Humans
  • Neoplasm Recurrence, Local / surgery
  • Retinal Detachment* / surgery
  • Silicone Oils
  • Vitrectomy

Substances

  • Silicone Oils