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Arquivos Brasileiros de Oftalmologia

Print version ISSN 0004-2749On-line version ISSN 1678-2925

Abstract

CORREA, Zélia Maria da Silva  and  MARCON, Ítalo Mundialino. Fine needle aspiration biopsy (FNAB) in the diagnosis of a suspicious iris lesion: case report. Arq. Bras. Oftalmol. [online]. 2001, vol.64, n.4, pp.347-350. ISSN 1678-2925.  https://doi.org/10.1590/S0004-27492001000400014.

To report the case of a patient who presented with a solid anterior segment intraocular mass in his right eye, and the diagnostic investigation chosen by the authors. Diagnostic uncertainty and patient's refusal to agree with the treatment caused the authors to perform a fine needle aspiration biopsy of the lesion. Biopsy was performed by corneal puncture, through the aqueous and the tumor. Cytology of the specimen obtained by the biopsy determined the therapeutic strategy for this case. Cytology diagnosis was consistent with primary malignant melanoma of the choroid of mixed cell type. Enucleation of the eye was suggested due to the position of the tumor and its potential to spread distant metastases. After enucleation, anatomopathological examination of the eye presented a similar result to cytology. The patient is currently been followed, with no signs of metastasis 2 years after enucleation.

Keywords : Choroid neoplasms [pathology]; Melanoma [pathology]; Needle biopsy; Eye enucleation.

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