D'hermies F, Hurbli T, Morel X, Halhal M, Meyer A, Elmaleh C, Fayet B, Behar-Cohen F, Renard G
Service d'Ophtalmologie, Hôtel Dieu, Paris, France.
J Fr Ophtalmol. 2002 Mar;25(3):333-6.
A 43-year-old female patient had an amelanotic single tumor thickening the upper right eyelid and observed since early childhood. Clinically, it appeared as a firm mass, without sharp margins, giving a thickened appearance to the superior eyelid. The ophthalmic clinical examination was normal but some subcutaneous nodules attested to the diffusion of the disease recognized as a limited form of neurofibromatosis 1. Although well tolerated, it gave rise to a cosmetic disturbance and the patient was willing to undergo an excision. A complete surgical excision was performed on the lesions and the pathological study disclosed a typical neurofibroma. Regular observation of the different cutaneous nodules was recommended.
一名43岁女性患者自幼年起右上眼睑有一个无色素沉着的单发性肿瘤增厚。临床上,它表现为质地坚硬的肿块,边界不清晰,使上眼睑呈现增厚外观。眼科临床检查正常,但一些皮下结节证实了该疾病的扩散,被诊断为1型神经纤维瘤病的一种局限形式。尽管耐受性良好,但它引起了外观问题,患者愿意接受切除手术。对病变进行了完整的手术切除,病理研究显示为典型的神经纤维瘤。建议定期观察不同的皮肤结节。