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January 1970

Metastatic Carcinoma of the Ciliary Body Simulating UveitisDiagnosis by Cytologic Examination of Aqueous Humor

Author Affiliations

Bethesda, Md
From the Ophthalmology Branch, National Institute of Neurological Diseases and Stroke (Drs. Morgan and Albert) and the Pathological Anatomy Branch, National Cancer Institute (Dr. Malmgren), National Institutes of Health, Bethesda, Md. Dr. Albert is now at the Section of Ophthalmology, Yale University School of Medicine, New Haven, Conn.

Arch Ophthalmol. 1970;83(1):54-58. doi:10.1001/archopht.1970.00990030056010

CYTOLOGICAL EXAMINATION of the aqueous humor established the presence of an ocular malignancy in a 64-year-old man who presented with "uveitis." The tumor was a mucoepidermoid carcinoma of the ciliary body considered to be metastatic from a squamous cell carcinoma of the lung. The part played by cytopathologic examination and the unusual nature of the ocular tumor are the principal features of the case report.

Report of a Case  For five months prior to admission, this 64-year-old white steel worker (06-65-93) was under ophthalmological care for chronic iridocyclitis of undetermined origin and secondary glaucoma. The condition was refractory to all treatment including topical and systemic corticosteroids, corticotropin, systemic antibiotics, and antituberculous therapy. The patient had a long history of cigarette smoking, morning cough, and an unexplained 4.5 kg (10 lb) weight loss during the course of the present illness.At the time of admission to the Ophthalmology Branch (March 23,

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