ABSTRACT
Solitary plasmacytomas rarely develop in the skull, meninges, or brain. Ophthalmic signs as the initial manifestations of solitary intracranial plasmacytoma have rarely been described. We report the neuro-ophthalmologic, imaging, and pathologic findings for two patients. One patient presented with optic neuropathy, the second with bilateral sixth nerve palsies. Plasmacytoma is a treatable intracranial tumor that should be considered in the differential diagnosis of patients who present with optic neuropathy or sixth nerve palsy.
Subject(s)
Abducens Nerve Diseases/diagnosis , Brain Neoplasms/diagnosis , Optic Nerve Diseases/diagnosis , Plasmacytoma/diagnosis , Abducens Nerve Diseases/etiology , Brain Neoplasms/complications , Brain Neoplasms/pathology , Brain Neoplasms/radiotherapy , Combined Modality Therapy , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Optic Nerve Diseases/etiology , Plasmacytoma/complications , Plasmacytoma/pathology , Plasmacytoma/radiotherapy , Tomography, X-Ray ComputedABSTRACT
PURPOSE: To report a conjunctival leiomyoma. DESIGN: Observational case report. METHODS: A 35-year-old man was referred to us for evaluation of a lesion in his left eye. The lesion had been present for 1 year but had recently caused irritation. Ophthalmologic examination revealed an elevated mass in the episclera. There was no associated conjunctival/episcleral injection. Ocular examination was otherwise entirely normal. An excisional biopsy was performed. RESULTS: The histopathologic and immunohistochemistry examinations established the diagnosis of a conjunctival leiomyoma. CONCLUSION: This case represents the first report, known to date, describing the occurrence of a conjunctival leiomyoma.
