A Histopathologic Review of Undiagnosed Neoplasms in 205 Evisceration Specimens

A Histopathologic Review of Undiagnosed Neoplasms in 205 Evisceration Specimens

Author Novais, Eduardo A. Google Scholar
Fernandes, Bruno F. Google Scholar
Pacheco, Luiz F. Google Scholar
Di Cesare, Sebastian Google Scholar
Miyamoto, Cristina Autor UNIFESP Google Scholar
Briccoli, Tiago A. Google Scholar
Burnier, Miguel N. Autor UNIFESP Google Scholar
Institution McGill Univ
Henry C Witelson Ocular Pathol Lab
Universidade do Estado do Rio de Janeiro (UERJ)
Universidade Federal do Rio de Janeiro (UFRJ)
Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: Evisceration and enucleation are 2 ophthalmic surgeries used to treat blind and painful eyes. the benefits of evisceration over enucleation are many but this procedure is contraindicated in cases of a suspected intra-ocular mass. Given the lack of such studies in the literature, our aim was to review a large sample of eviscerated specimens to document the prevalence of unexpected neoplasms.Methods: During the study period (1994-2011), 13,591 human ophthalmic specimens were received at the Henry C. Witelson Ophthalmic Pathology Laboratory and Registry. of those, 205 were evisceration specimens. Histopathologic reports were reviewed to retrieve relevant clinical information that included clinical diagnosis, age, gender, laterality, and final histopathologic diagnosis.Results: the total number of unexpected neoplasms was 4 (1.95%) including 2 (0.97%) malignancies: necrotic melanoma (1), ciliary body adenoma (1), iris nevus (1), and spindle cell melanoma (1). All the other remaining eyes had histopathologic findings that were consistent with the underlying diagnosis.Conclusions: With proper pre-operative evaluation, including history, ophthalmologic examination, and imaging studies, the rate of unexpected neoplasms in evisceration specimens were low. Evisceration is a simpler and cheaper procedure when compared with enucleation, and our results corroborate its safety, whenever indicated to treat blind and/or painful eyes. (Ophthal Plast Reconstr Surg 2012; 28: 331-334)
Language English
Date 2012-09-01
Published in Ophthalmic Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 28, n. 5, p. 331-334, 2012.
ISSN 0740-9303 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 331-334
Origin http://dx.doi.org/10.1097/IOP.0b013e31825ca5d8
Access rights Closed access
Type Review
Web of Science ID WOS:000308810200015
URI http://repositorio.unifesp.br/handle/11600/35249

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