Metastatic ciliary body carcinoid tumor
D. S. Bardenstein, D. H. Char, C. Jones, J. B. Crawford, T. R. Miller and F. T. Riekhof
Department of Ophthalmology, University of California, San Francisco 94143.
A 50-year-old man with a history of systemic carcinoid had decreased right
eye vision and a darkly pigmented cilio-choroidal 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.
