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Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient
(1) Background: Intralenticular tumors are an entity akin to Schrodinger’s cat since, although the human crystalline cells themselves are not known to malignly proliferate, various entities can take the appearance and clinical presentation of a tumor originating in the lens. We present the peculiar...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392562/ https://www.ncbi.nlm.nih.gov/pubmed/34441427 http://dx.doi.org/10.3390/diagnostics11081493 |
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author | Tătaru, Călin Petru Tătaru, Cătălina Ioana Dudău, Maria Moșu, Alexandra Luca, Lăcrămioara Maria, Bosa Bancu, Alice Curcă, Paul Filip |
author_facet | Tătaru, Călin Petru Tătaru, Cătălina Ioana Dudău, Maria Moșu, Alexandra Luca, Lăcrămioara Maria, Bosa Bancu, Alice Curcă, Paul Filip |
author_sort | Tătaru, Călin Petru |
collection | PubMed |
description | (1) Background: Intralenticular tumors are an entity akin to Schrodinger’s cat since, although the human crystalline cells themselves are not known to malignly proliferate, various entities can take the appearance and clinical presentation of a tumor originating in the lens. We present the peculiar case of an 11-year-old male patient of African descent, HLA B27+, with a previous history of minor ocular trauma and unilateral anterior uveitis a year before which was admitted to our department with total opacification of the crystalline lens in the right eye and lens neovascularization. During surgery, a vascular, white fibrotic mass measuring 0.1–0.2 cm was discovered inside the lens bag and was excised. (2) Methods: Retrospective case review. (3) Results: The histopathological exam of the excised mass revealed an abundant infiltrate consisting of CD68+ foamy macrophages and lymphoplasmacytic elements. CD68 is a pan-macrophage marker associated with an active inflammatory mechanism soliciting macrophages, and tissue activated macrophages are correlated to increased stromal and serum levels of vascular endothelial growth factor, providing an explanation for lens angiogenesis. (4) Conclusions: The diagnosis is of a “masquerade tumor” resulted from an abnormal inflammatory process in connection with previous ocular trauma and possibly the patient’s HLA B27+ status. |
format | Online Article Text |
id | pubmed-8392562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83925622021-08-28 Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient Tătaru, Călin Petru Tătaru, Cătălina Ioana Dudău, Maria Moșu, Alexandra Luca, Lăcrămioara Maria, Bosa Bancu, Alice Curcă, Paul Filip Diagnostics (Basel) Case Report (1) Background: Intralenticular tumors are an entity akin to Schrodinger’s cat since, although the human crystalline cells themselves are not known to malignly proliferate, various entities can take the appearance and clinical presentation of a tumor originating in the lens. We present the peculiar case of an 11-year-old male patient of African descent, HLA B27+, with a previous history of minor ocular trauma and unilateral anterior uveitis a year before which was admitted to our department with total opacification of the crystalline lens in the right eye and lens neovascularization. During surgery, a vascular, white fibrotic mass measuring 0.1–0.2 cm was discovered inside the lens bag and was excised. (2) Methods: Retrospective case review. (3) Results: The histopathological exam of the excised mass revealed an abundant infiltrate consisting of CD68+ foamy macrophages and lymphoplasmacytic elements. CD68 is a pan-macrophage marker associated with an active inflammatory mechanism soliciting macrophages, and tissue activated macrophages are correlated to increased stromal and serum levels of vascular endothelial growth factor, providing an explanation for lens angiogenesis. (4) Conclusions: The diagnosis is of a “masquerade tumor” resulted from an abnormal inflammatory process in connection with previous ocular trauma and possibly the patient’s HLA B27+ status. MDPI 2021-08-18 /pmc/articles/PMC8392562/ /pubmed/34441427 http://dx.doi.org/10.3390/diagnostics11081493 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Tătaru, Călin Petru Tătaru, Cătălina Ioana Dudău, Maria Moșu, Alexandra Luca, Lăcrămioara Maria, Bosa Bancu, Alice Curcă, Paul Filip Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title | Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title_full | Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title_fullStr | Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title_full_unstemmed | Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title_short | Traumatic Intralenticular Neovascularization in a HLA B27+ Pediatric Patient |
title_sort | traumatic intralenticular neovascularization in a hla b27+ pediatric patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392562/ https://www.ncbi.nlm.nih.gov/pubmed/34441427 http://dx.doi.org/10.3390/diagnostics11081493 |
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