Abstract
Peripheral nerve sheath tumors of the uveal tract arise mainly in the sheath of peripheral nerves that are found in the uvea. The ciliary nerve is most often affected, and hence these tumors tend to be located anteriorly, in the ciliary body or peripheral choroid in the anatomic location of the long ciliary nerve. There are several systemic predisposing risk factors, which include schwannomatosis, neurofibromatosis 1 (NF1) and 2, and other rare genetic syndromes. The benign tumors can be subclassified as neurofibroma and schwannoma. The malignant nerve sheath tumors are more difficult to subclassify if they lose the histological characteristics of their benign counterparts. In this chapter, we discuss uveal neurofibroma and schwannoma.
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References
Shields JA, Sanborn GE, Kurz GH, et al. Benign peripheral nerve tumor of the choroid: a clinicopathologic correlation and review of the literature. Ophthalmology. 1981;88(12):1322–9.
Burke JP, Leitch RJ, Talbot JF, et al. Choroidal neurofibromatosis with congenital iris ectropion and buphthalmos: relationship and significance. J Pediatr Ophthalmol Strabismus. 1991;28(5):265–7.
Woog JJ, Albert DM, Craft J, et al. Choroidal ganglioneuroma in neurofibromatosis. Graefes Arch Clin Exp Ophthalmol. 1983;220(1):25–31.
Goyal S, Park A, Zeglam A, et al. Choroidal ganglioneuroma and orbital plexiform neurofibroma presenting as buphthalmos in an infant with neurofibromatosis type 1. Ophthal Plast Reconstr Surg. 2016 Jul-Aug;32(4):87–9.
Ishijima K, Kase S, Noda M, et al. Intraocular neovascularization associated with choroidal ganglioneuroma in neurofibromatosis type 1. Eur J Ophthalmol. 2011;21:837–40.
Shome D, Vemuganti GK, Honavar SG. Choroidal ganglioneuroma in a patient with neurofibromatosis type 1: a case report. Eye (Lond). 2006;20:1450–1.
Yazici B, Ozgun G, Adim SB. Choroidal ganglioneuroma in a patient with orbitopalpebral neurofibromatosis. Ophthal Plast Reconstr Surg. 2014;30:e140–2.
Ozgun G, Adim SB, Yazici B. Co-occurrence of choroidal pigmented ganglioneuroma and plexiform neurofibroma in a patient with neurofibromatosis 1. Kaohsiung J Med Sci. 2014;30:215–6.
Mbaqwu M, Rahmani B, Srivastava A, et al. Unsuspected ganglioneuroma of the choroid diagnosed after enucleation. Ocul Oncol Pathol. 2015 Sep;2(1):48–50.
Brownstein S, Little JM. Ocular neurofibromatosis. Ophthalmology. 1983;90(12):1595–9.
Yasunari T, Shiraki K, Hattori H, et al. Frequency of choroidal abnormalities in neurofibromatosis type 1. Lancet. 2000;356(9234):988–92.
Kumar SS. Multimodar imaging of choroidal nodules in neurofibromatosis type 1. Indian J Ophthalmol. 2018;66(4):586–8.
Lewis RA, Riccardi VM. Von Recklinghausen neurofibromatosis. Incidence of iris hamartomata. Ophthalmology. 1981;88(4):348–54.
Nakakura S, Shiraki K, Yasunari T, et al. Quantification and anatomic distribution of choroidal abnormalities in patients with type I neurofibromatosis. Graefes Arch Clin Exp Ophthalmol. 2005 Oct;243(10):980–4.
Wei WB, Jie Y, Mo J, et al. Clinical characteristics and treatment of neurofibroma of the choroid. Chin Med J. 2012;125(10):1832–5.
Smith PA, Damato BE, Ko MK, et al. Anterior uveal neurilemmoma–a rare neoplasm simulating malignant melanoma. Br J Ophthalmol. 1987;71(1):34–40.
Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM. The pathobiologic spectrum of schwannomas. Histol Histopathol. 2003;18(3):925–34.
You JY, Finger PT, Iacob C, et al. Intraocular schwannoma. Surv Ophthalmol. 2013;58(1):77–85.
Reith JD, Goldblum JR. Multiple cutaneous plexiform schwannomas. Report of a case and review of the literature with particular reference to the association with types 1 and 2 neurofibromatosis and schwannomatosis. Arch Pathol Lab Med. 1996;120(4):399–401.
Freedman SF, Elner VM, Donev I, et al. Intraocular neurilemmoma arising from the posterior ciliary nerve in neurofibromatosis. Pathologic findings. Ophthalmology. 1988;95(11):1559–64.
MacCollin M, Willett C, Heinrich B, et al. Familial schwannomatosis: exclusion of the NF2 locus as the germline event. Neurology. 2003;60(12):1968–74.
Antinheimo J, Sankila R, Carpen O, et al. Population-based analysis of sporadic and type 2 neurofibromatosis-associated meningiomas and schwannomas. Neurology. 2000;54(1):71–6.
Carney JA. The Carney complex (myxomas, spotty pigmentation, endocrine overactivity, and schwannomas). Dermatol Clin. 1995;13(1):19–26.
Venturini G, Moulin AP, Deprez M, et al. Clinicopathologic and molecular analysis of a choroidal pigmented schwannoma in the context of a PTEN hamartoma tumor syndrome. Ophthalmology. 2012;119(4):857–64.
Fan JT, Campbell RJ, Robertson DM. A survey of intraocular schwannoma with a case report. Can J Ophthalmol. 1995;30(1):37–41.
Matsuo T, Notohara K. Choroidal schwannoma: immunohistochemical and electron-microscopic study. Ophthalmologica. 2000;214(2):156–60.
Saavedra E, Singh AD, Sears JE, et al. Plexiform pigmented schwannoma of the uvea. Surv Ophthalmol. 2006;51(2):162–8.
Lee SH, Hong JS, Choi JH, et al. Choroidal schwannoma. Acta Ophthalmol Scand. 2005;83(6):754–6.
Shields JA, Font RL, Eagle RC Jr, et al. Melanotic schwannoma of the choroid. Immunohistochemistry and electron microscopic observations. Ophthalmology. 1994;101(5):843–9.
Xian J, Xu X, Wang Z, et al. MR imaging findings of the uveal schwannoma. AJNR Am J Neuroradiol. 2009;30(4):769–73.
Pineda R 2nd, Urban RC Jr, Bellows AR, et al. Ciliary body neurilemmona. Unusual clinical findings intimating the diagnosis. Ophthalmology. 1995;102(6):918–23.
Turell ME, Hayden BC, McMahon JT, et al. Uveal schwannoma surgery. Ophthalmology. 2009;116(1):163–e6.
Kuchle M, Holbach L, Schlotzer-Schrehardt U, et al. Schwannoma of the ciliary body treated by block excision. Br J Ophthalmol. 1994;78(5):397–400.
Goto H, Mori H, Shirato S, et al. Ciliary body schwannoma successfully treated by local resection. Jpn J Ophthalmol. 2006;50(6):543–6.
Cho YJ, Won JB, Byeon SH, et al. A choroidal schwannoma confirmed by surgical excision. Korean J Ophthalmol. 2009;23(1):49–52.
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Cohen, V.M.L., Damato, B.E., Singh, A.D. (2019). Uveal Neural Tumors. In: Damato, B., Singh, A. (eds) Clinical Ophthalmic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-17879-6_24
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DOI: https://doi.org/10.1007/978-3-030-17879-6_24
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