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Nonteratoid Medulloepithelioma Presenting in a 78-Year-Old Male
Christopher K H Burris1, Vasilios P Papastefanou2, Caroline Thaung3
1Department of Ophthalmology, University of Wisconsin-Madison, Madison, Wis., USA.
Background:
Medulloepithelioma is a rare congenital neoplasm derived from precursors of the nonpigmented ciliary epithelium of the ciliary body. The average patient age at clinical presentation is 3.8 years.
Case Presentation:
We present the case of a 78-year-old male with progressive lens subluxation and ocular hypertension who was found to have a ciliary body mass. After enucleation for presumed ciliary body melanoma, histopathology showed a nonteratoid medulloepithelioma. Cytogenetic analysis revealed abnormalities in chromosomes 3 and 8.
Conclusion:
Medulloepithelioma is often initially misdiagnosed. Though congenital in nature, it can exhibit rapid growth, have chromosomal abnormalities, and must be considered in all age groups.
