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KMID : 0213520090230010049
Korean Journal of Ophthalmology
2009 Volume.23 No. 1 p.49 ~ p.52
A Choroidal Schwannoma Confirmed by Surgical Excision
Cho Young-Jae

Won Jung-Bin
Byeon Suk-Ho
Yang Woo-Ik
Koh Hyoung-Jun
Kwon Oh-Woong
Lee Sung-Chul
Abstract
Schwannomas rarely present as intraocular tumors and are often misdiagnosed as malignant melanoma. We describe a choroidal schwannoma confirmed by sclerouvectomy. A 30-year-old woman presented with a large nonpigmented intraocular mass of the choroid in the right eye and underwent surgical excision by sclerouvectomy. Histologically, the tumor was composed of a mixture of cellular solid components (Antoni A) and loose myxoid components (Antoni B). The tumor was eventually diagnosed as a schwannoma. Currently available ancillary studies are still of little value in definitively differentiating schwannomas from other choroidal tumors. In the case of atypical findings for a malignant melanoma, a benign neoplasm should be included in the differential diagnosis. This patient avoided enucleation by first having the mass excised. We are unaware of previous reports in which a choroidal schwannoma was diagnosed by surgical excision.
KEYWORD
Schwannoma, Sclerouvectomy, Enucleation
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