PURPOSE: To report a case of a cystic ciliary body melanoma that appea
red clinically as a solid mass. METHODS: A 59-year-old woman underwent
an iridocyclectomy for removal of a ciliary body melanoma in the righ
t eye. The tumor was analyzed histopathologically for acid mucopolysac
cha ride production. RESULTS: Histopathology identified a ciliary body
melanoma with cystic cavities. Contents of the cystic spaces did not
stain with alcian blue. Histologic findings suggested exudation, cavit
ary necrosis, or both rather than acid mucopolysaccharide production a
s pathogenic factors for cyst formation. CONCLUSION: Cystic cavities c
an develop in a solid, malignant tumor and therefore should not be con
sidered signs of a benign lesion.