Transplanted corneal graft with metastatic cholangiocarcinoma to the donor eye

TitleTransplanted corneal graft with metastatic cholangiocarcinoma to the donor eye
Publication TypeJournal Article
Year of Publication2008
AuthorsYao X, Lee M, Ying F, Huang L, Qi W, Zhao P, He YG
JournalEye Contact Lens
Pagination340 - 2
Date PublishedNov
ISSN1542-233X (Electronic) 1542-2321 (Linking)
Accession Number18997546
Keywords*Tissue Donors, Adolescent, Bile Duct Neoplasms / mortality / pathology, Bile Ducts, Intrahepatic, Cholangiocarcinoma / *etiology / mortality / pathology / secondary, Corneal Diseases / *etiology / pathology, Corneal Transplantation / *adverse effects, Eye Neoplasms / *etiology / pathology / secondary, Female, Humans, Middle Aged, Reoperation

OBJECTIVES: To report a case of corneal transplantation from a donor died of cholangiocarcinoma with metastasis to the eye. METHODS: A patient with limbal dermoid received corneal transplant from a donor died of cholangiocarcinoma. Pathologic examination of the remaining donor limbal tissue revealed metastasis of tumor to the limbal vessels. Prompt exchange of the graft was performed. Before the second corneal transplantation, the surrounding tissue of the recipient bed was excised and sent for histopathologic examination. RESULTS: No tumor transmission was noted surrounding the recipient bed. The second graft remained clear and the patient remained cancer free after regular examination for over a year. CONCLUSIONS: This is the first case to report that cholangiocarcinoma can metastasize to the corneal limbus. To avoid transmission of malignancies from the donor to the recipient, we suggest that donor tissue with history of malignancy should not be used for limbal allografting, and that frozen-section examination of donor limbal tissue is recommended before the transplantation.

URLinternal-pdf://Yao - transplanted corneal graft w cholangiocarcinoma-1169906944/Yao - transplanted corneal graft w cholangiocarcinoma.pdf
DOI10.1097/ICL.0b013e31818c25d9 00140068-200811000-00012 [pii]
Notify Library Reference ID1663