Abstract
A 65-year-old male was referred for a left-eye irido-ciliary body mass for further evaluation. In the left eye, there was a small, well-circumscribed, white gelatinous, amelanotic mass noted temporally in the angle with a filiform appearance. The ultrasound biomicroscopy showed a large hyperreflective mass at 3 o’clock in the ciliary body, the anterior chamber, angle, iris, and anterior surface of the lens. Iris tissue biopsy was done, and the sample was sent for histopathology with immunohistochemistry. The histopathological examination identified the tumor composed of malignant cells forming glandular structures alongside papillary projections. Immunohistochemical tests showed positive results for CK (AE1/AE3). The diagnosis of a poorly differentiated adenocarcinoma was made. A whole-body PET scan and CT scan were done. The imaging features were suggestive of primary bronchogenic malignancy of the right lung with systemic metastases. The lung biopsy confirmed the diagnosis. Iridociliary mass warrants a detailed evaluation for appropriate management by a multidisciplinary team.
Published Version
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