Choroidal schwannoma in a 6-month-old girl

Choroidal schwannomas are exceedingly rare in children, with only 6 cases reported in children younger than 18 years of age and none in those younger than 9 years. We report a 6-month-old infant presenting with a large noncalcified amelanotic mass with secondary glaucoma that mimicked an atypical re...

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Published inJournal of AAPOS Vol. 18; no. 2; pp. 197 - 199
Main Authors Chen, John J., MD, PhD, Kamberos, Natalie L., DO, O’Dorisio, M. Sue, MD, PhD, Syed, Nasreen A., MD, Boldt, Culver, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2014
Subjects
Choroid Neoplasms - pathology
Choroid Neoplasms - surgery
Eye Enucleation
Female
Glaucoma - diagnosis
Glaucoma - surgery
Humans
Infant
Magnetic Resonance Imaging
Microscopy, Acoustic
Neurilemmoma - pathology
Neurilemmoma - surgery
Ophthalmology
Retinal Detachment - diagnosis
Retinal Detachment - surgery
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Summary:Choroidal schwannomas are exceedingly rare in children, with only 6 cases reported in children younger than 18 years of age and none in those younger than 9 years. We report a 6-month-old infant presenting with a large noncalcified amelanotic mass with secondary glaucoma that mimicked an atypical retinoblastoma, leading to emergent enucleation for therapeutic and diagnostic purposes. Pathology revealed a total retinal detachment, glaucomatous damage, and a large mass arising from the peripapillary posterior choroid with areas of Antoni A pattern and S-100 staining consistent with the diagnosis of an intraocular schwannoma. This is the first intraocular schwannoma described in an infant.
Bibliography:ObjectType-Case Study-2
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ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2013.11.017