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. References 1. Aisenberg AC: Malignant lymphoma (second of two parts) . N Engl J Med 1973;288:935-941.Crossref 2. Appen RE: Posterior uveitis and primary cerebral reticulum cell sarcoma . Arch Ophthalmol 1975;93:123-124.Crossref 3. Barr CC, Green WR, Payne JW, et al: Reticulum cell sarcoma of the retina and uvea . Surv Ophthalmol 1975;19:224-239. 4. Collyer R: Reticulum cell sarcoma of the eye and orbit . Can J Ophthalmol 1972;7:247-249. 5. Cooper EL, Riker JL: Malignant lymphoma of the uveal tract . Am J Ophthalmol 1951;34:1153-1158. 6. Currey TA, Deutsch AR: Reticulum cell sarcoma of the uvea . South Med J 1965;58:919-922.Crossref 7. Givner I: Malignant lymphoma with ocular involvement . Am J Ophthalmol 1955;39:29-32. 8. Henderson JW: Orbital Tumors . Philadelphia, WB Saunders Co, 1973, pp 371-375. 9. Kennerdell JS, Johnson BL, Wisotzkey HM: Vitreous cellular reaction: Association with reticulum cell sarcoma of brain . Arch Ophthalmol 1975;93:1341-1345.Crossref 10. Kim EW, Zakov ZN, Albert DM, et al: Intraocular reticulum cell sarcoma: A case report and literature review . Albrecht Von Graefes Arch Klin Exp Ophthalmol 1979;209:167-178.Crossref 11. Klingele TG, Hogan MJ: Ocular reticulum cell sarcoma . Am J Ophthalmol 1975;79:39-47. 12. Lenhard, RE Jr, Ezdinli EZ, Costello W, et al: Treatment of histiocytic and mixed lymphomas: A comparison of 2, 3 and 4 drug chemotherapy . Cancer 1978;42:41-52.Crossref 13. Margolis L, Fraser R, Lichter A, et al: The role of radiation therapy in the management of ocular reticulum cell sarcoma . Cancer 1980;45:688-692.Crossref 14. Michels RG, Knox DL, Erozan Y, et al: Intraocular reticulum cell sarcoma: Diagnosis by pars plana vitrectomy . Arch Ophthalmol 1975;93:1331-1335.Crossref 15. Minckler DS, Font RL, Zimmerman LE: Uveitis and reticulum cell sarcoma of brain with bilateral neoplastic seeding of vitreous without retinal or uveal involvement . Am J Ophthalmol 1975;80:433-439. 16. Neault RW, VanScoy RE, Okazaki H, et al: Uveitis associated with isolated reticulum cell sarcoma of the brain . Am J Ophthalmol 1972;73:431-436. 17. Nevins RC, Frey WW, Elliott JH: Primary, solitary, intraocular reticulum cell sarcoma (microgliomatosis): A clinicopathologic case report . Trans Am Acad Ophthalmol Otolaryngol 1968;72:867-876. 18. Parver LM, Font RL: Malignant lymphoma of the retina and brain: Initial diagnosis by cytologic examination of vitreous aspirate . Arch Ophthalmol 1979;97:1505-1507.Crossref 19. Reese AB: Tumors of the Eye . New York, Harper & Row Publishers Inc, 1976, p 392. 20. Rosenbaum TJ, MacCarty CS, Buettner H: Uveitis and cerebral reticulum cell sarcoma (large-cell lymphoma): Case report . J Neurosurg 1979;50:660-664.Crossref 21. Scully RE, Galdabini JJ, McNeely BU: Case records of the Massachusetts General Hospital: Weekly clinicopathological exercises: Case 49-1978 . N Engl J Med 1978;299:1349-1359.Crossref 22. Shapiro A, Ivry M, Lahov M: An unusual macular lesion simulating a neoplasm . Br J Ophthalmol 1978;62:558-560.Crossref 23. Sullivan SF, Dallow RL: Intraocular reticulum cell sarcoma: Its dramatic response to systemic chemotherapy and its angiogenic potential . Ann Ophthalmol 1977;9:401-406. 24. Vogel MH, Font RL, Zimmerman LE, et al: Reticulum cell sarcoma of the retina and uvea: Report of six cases and review of the literature . Am J Ophthalmol 1968;66:205-215. 25. Hartshorne I: Lymphosarcoma of the orbit probably arising in the choroid . Am J Ophthalmol 1922;5:604-608. 26. McGavic JS: Lymphomatoid diseases involving the eye and its adnexa . Arch Ophthalmol 1943;30:179-193.Crossref 27. Beasley H: Lymphosarcoma of the choroid . Am J Ophthalmol 1961;51:1294-1296. 28. Schaumburg HH, Plank CR, Adams RD: The reticulum cell sarcoma-Microglia group of brain tumors: A consideration of their clinical features and therapy . Brain 1972;95:199-212.Crossref 29. Adams JH, Jackson JM: Intracerebral tumors of reticular tissue: The problem of microgliomatosis and reticulo-endothelial sarcoma of the brain . 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Archives of Ophthalmology – American Medical Association
Published: Jun 1, 1981
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