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'''Diktyoma''' is a rare type of [[tumor]] that originates from the [[retina]] of the eye. It is also known as a medulloepithelioma or teratoid medulloepithelioma. This tumor is typically benign, but can sometimes be malignant. It is most commonly diagnosed in children and young adults.
{{SI}}
 
{{Infobox medical condition
==Etiology==
| name            = Diktyoma
 
| image          = [[File:Medulloepithelioma_Histology.jpg|250px]]
The exact cause of diktyoma is unknown. However, it is believed to arise from the primitive [[neuroepithelium]], which is a layer of cells in the retina that is present during fetal development. Some researchers suggest that it may be related to genetic mutations, but more research is needed to confirm this.
| caption        = Histological image of a medulloepithelioma, also known as diktyoma
 
| field          = [[Ophthalmology]]
==Symptoms==
| synonyms        = [[Medulloepithelioma]]
 
| symptoms        = [[Vision loss]], [[eye pain]], [[proptosis]]
The symptoms of diktyoma can vary depending on the size and location of the tumor. Common symptoms include:
| complications  = [[Glaucoma]], [[retinal detachment]]
 
| onset          = Typically in [[childhood]]
* [[Visual impairment|Loss of vision]]
| duration        = [[Chronic (medicine)|Chronic]]
* [[Strabismus|Crossed eyes]]
| types          = [[Teratoid]], [[non-teratoid]]
* [[Leukocoria|White pupil]]
| causes          = [[Congenital]]
* [[Eye pain|Pain in the eye]]
| risks          = [[Genetic predisposition]]
* [[Glaucoma|Increased pressure within the eye]]
| diagnosis      = [[Ophthalmic examination]], [[imaging studies]], [[biopsy]]
 
| differential    = [[Retinoblastoma]], [[Coats' disease]]
| prevention      = None known
| treatment      = [[Surgical resection]], [[radiation therapy]], [[chemotherapy]]
| medication      = None specific
| prognosis      = Variable, depends on extent and treatment
| frequency      = Rare
}}
{{Short description|A rare, primitive neuroectodermal tumor of the eye}}
Diktyoma, also known as medulloepithelioma, is a rare, primitive neuroectodermal tumor that primarily affects the [[eye]]. It is most commonly found in children and is characterized by its origin from the non-pigmented ciliary epithelium of the [[ciliary body]].
==Pathophysiology==
Diktyomas are believed to arise from the primitive medullary epithelium, which is a remnant of the embryonic neural tube. These tumors are composed of neuroepithelial cells that can differentiate into a variety of cell types, including neuronal, glial, and epithelial cells. The histological appearance of diktyoma is often described as resembling the embryonic neural tube, with rosettes and tubular structures.
==Clinical Presentation==
Patients with diktyoma typically present with symptoms related to the [[eye]], such as decreased vision, eye pain, or visible mass in the eye. In some cases, the tumor may cause secondary [[glaucoma]] or [[retinal detachment]].
==Diagnosis==
==Diagnosis==
 
The diagnosis of diktyoma is primarily based on clinical examination and imaging studies. [[Ultrasound]] and [[magnetic resonance imaging]] (MRI) are commonly used to assess the extent of the tumor. Definitive diagnosis is made through histopathological examination of the tumor tissue, which reveals the characteristic features of medulloepithelioma.
Diagnosis of diktyoma is typically made through a comprehensive [[eye examination]]. This may include a [[fundus examination]], which involves looking at the back of the eye to check for abnormalities. Imaging tests such as [[ultrasound]], [[CT scan]], and [[MRI]] may also be used to confirm the diagnosis and determine the extent of the tumor.
 
==Treatment==
==Treatment==
 
The treatment of diktyoma depends on the size and location of the tumor, as well as the presence of any complications. Surgical removal of the tumor is the primary treatment modality. In some cases, [[enucleation]] of the affected eye may be necessary. Adjuvant therapies, such as [[radiation therapy]] or [[chemotherapy]], may be considered in cases where complete surgical resection is not possible.
Treatment for diktyoma depends on the size and location of the tumor, as well as the patient's overall health. Options may include:
 
* [[Surgery]] to remove the tumor
* [[Radiation therapy]]
* [[Chemotherapy]]
* [[Laser therapy]]
* [[Cryotherapy]]
 
==Prognosis==
==Prognosis==
 
The prognosis for patients with diktyoma varies depending on the extent of the disease and the success of treatment. Early detection and complete surgical removal of the tumor are associated with a better prognosis. However, the potential for local recurrence and metastasis exists, particularly in cases where the tumor is not completely resected.
The prognosis for diktyoma is generally good, especially if the tumor is detected and treated early. However, some patients may experience vision loss or other complications due to the tumor or its treatment.
 
==See also==
==See also==
* [[Retinoblastoma]]
* [[Retinoblastoma]]
* [[Eye neoplasm]]
* [[Neuroectodermal tumor]]
* [[Pediatric ophthalmology]]
* [[Ciliary body]]
 
[[Category:Ophthalmology]]
[[Category:Eye diseases]]
[[Category:Neuroectodermal tumors]]
[[Category:Rare diseases]]
[[Category:Tumors]]
 
{{medicine-stub}}

Latest revision as of 18:38, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Diktyoma
Synonyms Medulloepithelioma
Pronounce N/A
Specialty N/A
Symptoms Vision loss, eye pain, proptosis
Complications Glaucoma, retinal detachment
Onset Typically in childhood
Duration Chronic
Types Teratoid, non-teratoid
Causes Congenital
Risks Genetic predisposition
Diagnosis Ophthalmic examination, imaging studies, biopsy
Differential diagnosis Retinoblastoma, Coats' disease
Prevention None known
Treatment Surgical resection, radiation therapy, chemotherapy
Medication None specific
Prognosis Variable, depends on extent and treatment
Frequency Rare
Deaths N/A


A rare, primitive neuroectodermal tumor of the eye


Diktyoma, also known as medulloepithelioma, is a rare, primitive neuroectodermal tumor that primarily affects the eye. It is most commonly found in children and is characterized by its origin from the non-pigmented ciliary epithelium of the ciliary body.

Pathophysiology[edit]

Diktyomas are believed to arise from the primitive medullary epithelium, which is a remnant of the embryonic neural tube. These tumors are composed of neuroepithelial cells that can differentiate into a variety of cell types, including neuronal, glial, and epithelial cells. The histological appearance of diktyoma is often described as resembling the embryonic neural tube, with rosettes and tubular structures.

Clinical Presentation[edit]

Patients with diktyoma typically present with symptoms related to the eye, such as decreased vision, eye pain, or visible mass in the eye. In some cases, the tumor may cause secondary glaucoma or retinal detachment.

Diagnosis[edit]

The diagnosis of diktyoma is primarily based on clinical examination and imaging studies. Ultrasound and magnetic resonance imaging (MRI) are commonly used to assess the extent of the tumor. Definitive diagnosis is made through histopathological examination of the tumor tissue, which reveals the characteristic features of medulloepithelioma.

Treatment[edit]

The treatment of diktyoma depends on the size and location of the tumor, as well as the presence of any complications. Surgical removal of the tumor is the primary treatment modality. In some cases, enucleation of the affected eye may be necessary. Adjuvant therapies, such as radiation therapy or chemotherapy, may be considered in cases where complete surgical resection is not possible.

Prognosis[edit]

The prognosis for patients with diktyoma varies depending on the extent of the disease and the success of treatment. Early detection and complete surgical removal of the tumor are associated with a better prognosis. However, the potential for local recurrence and metastasis exists, particularly in cases where the tumor is not completely resected.

See also[edit]