Plaque Brachytherapy for DICER1-Associated Ciliary Body Medulloepithelioma.

IF 0.9 Q3 OPHTHALMOLOGY
Journal of Current Ophthalmology Pub Date : 2025-12-19 eCollection Date: 2025-04-01 DOI:10.4103/joco.joco_30_25
Mojtaba Abrishami, Akbar Beiki-Ardakani, Hatem Krema
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引用次数: 0

Abstract

Purpose: To report the outcome of a ciliary body medulloepithelioma associated with DICER-1 syndrome treated with iodine-125 plaque brachytherapy.

Methods: An 11-year-old male with a DICER1 gene mutation, who was previously treated for pineoblastoma with craniospinal radiotherapy and systemic chemotherapy at the age of three, was referred to assess a vascularized retrolental mass in his left eye. The clinical and ultrasound evaluations, besides his initial diagnosis of DICER-1 syndrome, suggested a ciliary body medulloepithelioma.

Results: No biopsy was performed given the risks of hemorrhage and tumor cell dissemination. The patient underwent iodine-125 plaque brachytherapy. Although the patient developed a radiation-induced cataract, it was eventually treated with cataract surgery. Five years after brachytherapy, the patient maintained excellent visual acuity with no signs of tumor recurrence.

Conclusion: Plaque brachytherapy is effective in achieving long-term control of DICER1-associated medulloepithelioma.

Abstract Image

Abstract Image

斑块近距离治疗dicer1相关性睫状体髓样上皮瘤。
目的:报道1例DICER-1综合征睫状体髓样上皮瘤采用碘-125斑块近距离放疗的疗效。方法:一名患有DICER1基因突变的11岁男性,在3岁时曾因松果体母细胞瘤接受过颅脊髓放射治疗和全身化疗,被推荐评估其左眼血管化的视网膜后肿块。除初步诊断为DICER-1综合征外,临床和超声检查提示为睫状体髓样上皮瘤。结果:考虑到出血和肿瘤细胞扩散的风险,未进行活检。患者行碘-125斑块近距离放疗。尽管患者患上了放射性白内障,但最终还是接受了白内障手术治疗。近距离放疗5年后,患者视力保持良好,无肿瘤复发迹象。结论:斑块近距离放疗对dicer1相关髓样上皮瘤的长期控制是有效的。
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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
45
审稿时长
8 weeks
期刊介绍: Peer Review under the responsibility of Iranian Society of Ophthalmology Journal of Current Ophthalmology, the official publication of the Iranian Society of Ophthalmology, is a peer-reviewed, open-access, scientific journal that welcomes high quality original articles related to vision science and all fields of ophthalmology. Journal of Current Ophthalmology is the continuum of Iranian Journal of Ophthalmology published since 1969.
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