關(guān)鍵詞:脈絡(luò)膜腫瘤/病理學(xué);血管瘤/病理學(xué);誤診
【摘要】 目的 探討因臨床誤診而行眼球摘除的脈絡(luò)膜血管瘤的臨床和病理特征。 方法 對本院病理科從1978年至1997年間收檢的7例病理檢查證實為脈絡(luò)膜血管瘤但臨床誤診的眼球標本及其臨床資料進行分析。 結(jié)果 手術(shù)前7例中1例被誤診為繼發(fā)性青光眼絕對期,6例被誤診為脈絡(luò)膜黑色素瘤。這些病例的臨床表現(xiàn)大部分為視力進行性減退,眼底視盤旁扁平隆起的腫物,伴廣泛滲出性視網(wǎng)膜脫離。病理證實均為脈絡(luò)膜海綿狀血管瘤,一般呈扁平圓盤狀,表面有小灶狀或條塊狀色素沉著斑。 結(jié)論 后極部脈絡(luò)膜扁平形腫物是本組脈絡(luò)膜血管瘤患者的臨床病理學(xué)特征,應(yīng)注意與脈絡(luò)膜黑色素瘤鑒別。
中國圖書資料分類法分類號 R739.7 R447 R770.2
The clinicopathological analysis of misdiagnosed cases of choroidal hemangioma
LIN Jinyong,LI Enjiang,Chen Gui.Tianjin EyeHospital,Tianjin 300040,China
【Abstract】 Objective To explorethe clinicopathological features and misdiagnosed causes of choroidal hemangioma. Methods Sevenmisdiagnosed cases(7eyes) of choroidal hemangioma,which were enucleated,were analysedretrospectively. Results One of the 7 cases was misdiagnosed asabsolute phase of the secondary glaucoma,and 6 of them as choroidal melanoma before theenucleation.The majority of cases in this series manifested themselves clinically andpathologically in progressive loss of visual acuity and a flat elevated tumor located atthe posterior ocular fundus near the optic disc and associated with exudative retinaldetachment.And also there were occasionally small focal or linear pigmentary depositesobserved on the surface of the neoplasm. Conclusion A flat elevateddiscoid tumor in the posterior fundus with extensive exudative retinal detachment might bea clinico-pathological feature of the choroidal hemangioma.
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