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Update of Ocular Reticulum Cell Sarcoma
LCDR Harold A. Sloas, MC, USN;
LCDR Jay Starling, MC, USN;
CAPT David G. Harper, MC, USN;
CAPT Howard P. Cupples, MC, USN
Arch Ophthalmol. 1981;99(6):1048-1052.
Abstract
Reticulum cell sarcoma involving the vitreous and the brainstem occurred in a 45-year-old man. He initially was seen with diplopia from a partial left-sided third cranial nerve palsy, which is rare. Later, a typical uveitis developed in the right eye. An initial diagnosis of brainstem glioma, based primarily on the computed tomographic scan findings and clinical history, was ultimately proved erroneous when the correct diagnosis was shown by the results of a cytologic examination of a vitreous aspirate. Excellent visual response to a moderately high oral dose of steroids occurred, which has not been usual in other reported cases. Definitive cobalt (gamma) radiation therapy (6,000 rad to the brainstem and 4,000 rad to the vitreous) has produced a one-year remission at this time.
Author Affiliations
From the Department of Ophthalmology, National Naval Medical Center; and the Uniformed Services University of the Health Sciences, Bethesda, Md.
Footnotes
Accepted for publication Sept 22, 1980.
The opinions and assertions contained herein are those of the authors and are not to be construed as official or as representing those of the Bureau of Medicine and Surgery of the Department of the Navy or of the Naval Service at large.
Reprint requests to Department of Ophthalmology, National Medical Naval Center, Bethesda, MD 20014 (Dr Cupples).
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