Adenomatous Tumor of the Ciliary Body

This 35 year old woman was first noted to have an iris lesion on the left side 3 to 4 months prior to presentation. She was in excellent health and has no history suggestive of another malignancy. On ultrasound the lesion measured 3.8 mm in height and one-third of the lesion was behind the ciliary body. A fine needle aspiration biopsy was performed that was not consistent with melanoma but contained eosinophils and macrophages suggesting a granulomatous process. A biopsy was attempted but the tumor was quite friable. Ultimately the entire mass was removed with iridocyclectomy. The pathology was suggestive of either a benign adenoma of the nonpigmented ciliary body epithelium or a metastatic lesion. The patient was evaluated for other primary tumors and none were found.