Cather J C, Cather J C, Soparkar C N, Nelson B R
Department of Dermatology, University of Texas Health Science Center at Houston, USA.
Cutis. 1999 May;63(5):285-92.
The eye is the second most common site for primary melanoma after the skin. An ophthalmologic evaluation should be an integral aspect of melanoma screening that is often not even considered by nonophthalmologists. Delays or failures to make an accurate and early diagnosis can have grave consequences. Early recognition and diagnosis, before the tumor has progressed into an advanced process with a poor prognosis, can often result in complete cures through early interventional treatments. It is imperative that physicians adequately understand and appropriately examine or refer patients for appropriate screening for ocular melanoma as a routine practice in screening for melanoma. This article is intended to raise the clinical awareness of the practicing physician regarding this disease.
眼睛是继皮肤之后原发性黑色素瘤的第二大常见发病部位。眼科评估应是黑色素瘤筛查不可或缺的一部分,而非眼科医生通常甚至都不会考虑这一点。延误或未能做出准确的早期诊断可能会产生严重后果。在肿瘤发展成预后不良的晚期之前进行早期识别和诊断,往往可通过早期介入治疗实现完全治愈。医生必须充分了解并适当地检查或转诊患者,以便对眼部黑色素瘤进行适当筛查,这应作为黑色素瘤筛查的常规做法。本文旨在提高执业医生对这种疾病的临床认识。