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November 1990

Metastatic Ciliary Body Carcinoid Tumor

Author Affiliations

From the Department of Ophthalmology (Drs Bardenstein, Char, and Crawford), Ocular Oncology Unit (Drs Bardenstein and Char), Department of Radiation Oncology (Dr Char), and the Department of Pathology (Drs Jones and Miller), the University of California, San Francisco, and the Rocky Mountain Eye Center, Salt Lake City, Utah (Dr Riekhof).

Arch Ophthalmol. 1990;108(11):1590-1594. doi:10.1001/archopht.1990.01070130092038

• A 50-year-old man with a history of systemic carcinoid had decreased right eye vision and a darkly pigmented ciliochoroidal mass. Results of ultrasonographic and fluorescein angiographic examinations were consistent with a malignant melanoma. Fine-needle aspiration biopsy of the lesion identified it as a carcinoid metastasis. The patient refused both radiation and enucleation; complete excision with a cyclochoroidectomy was performed. Histopathologic examination showed a carcinoid neoplasm covered by marked hyperplasia of the retinal pigment epithelium that produced the pigmented appearance of the lesion.

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