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Article
October 1984

Malignant Teratoid Medulloepithelioma Manifesting as a Black Epibulbar Mass With Expulsive Hemorrhage

Author Affiliations

From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC. Dr Pe'er was a fellow in ophthalmic pathology, Hadassah University Hospital, Jerusalem.

Arch Ophthalmol. 1984;102(10):1523-1527. doi:10.1001/archopht.1984.01040031243028
Abstract

• An 18-year-old woman with malignant teratoid medulloepithelioma had an epibulbar, brown-black mass associated with expulsive hemorrhage and a limboscleral perforation. Histopathologically, a prominent pigmented neuroepithelial component was present and correlated to the black color of the mass. The massive hemorrhage is apparently related to rupture of necrotic and abnormal vascular channels within the angiomatous component of the neoplasm. Other mesenchymal elements included spindle-shaped cells, rhabdomyoblasts, and islands of hyaline cartilage.

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