KMID : 0213520090230010049
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Korean Journal of Ophthalmology 2009 Volume.23 No. 1 p.49 ~ p.52
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A Choroidal Schwannoma Confirmed by Surgical Excision
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Cho Young-Jae
Won Jung-Bin Byeon Suk-Ho Yang Woo-Ik Koh Hyoung-Jun Kwon Oh-Woong Lee Sung-Chul
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Abstract
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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.
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KEYWORD
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Schwannoma, Sclerouvectomy, Enucleation
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