Management of medulloepithelioma of the ciliary body with brachytherapy.
OBJECTIVE
To report a case of an adult with a ciliary body mass diagnosed as a medulloepithelioma by fine-needle aspiration, confirmed by tissue biopsy, and successfully treated with brachytherapy.


METHODS
Interventional case report.


METHODS
A 23-year-old white woman presented with a large mass originating in the ciliary body of the left eye. The mass, which measured 6 x 5 x 7.6 mm, was at the upper limits for resection. Treatment with iodine-125 brachytherapy (4,648 cGy) was employed to debulk the mass before eyewall resection.


RESULTS
The elevation of the mass by ultrasonography 5 months after brachytherapy was 3.9 mm with no evidence of growth during the 18-month follow-up period.


CONCLUSIONS
We report a case in which a ciliary body medulloepithelioma treated with brachytherapy had a favorable response through 18 months of follow-up after treatment. This is a single case report, and longer follow-up is necessary before treatment efficacy can be fully evaluated.
Davidorf
Frederick H
FH
Department of Ophthalmology, The Ohio State University, Columbus, Ohio, USA. davidorf.1@osu.edu
Craig
Elson
E
Birnbaum
Lee
L
Wakely
Paul
P
D000328:Adult; D001707:Biopsy, Needle; D001918:Brachytherapy; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000473:pathology / Q000528:radiation effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use*; D018242:Neuroectodermal Tumors, Primitive / Q000000981:diagnostic imaging / Q000473:pathology / Q000532:radiotherapy*; D016896:Treatment Outcome; D014463:Ultrasonography; D014604:Uveal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000532:radiotherapy*
D007457:Iodine Radioisotopes