Németh J, Szabó A, Végh M
Department of Ophthalmology, Albert Szent-Györgyi Medical University, Szeged, Hungary.
Acta Ophthalmol Suppl (1985). 1992(204):107-9. doi: 10.1111/j.1755-3768.1992.tb04940.x.
A case of an 8-year-old girl with unilateral retinoblastoma is presented. The clinical picture was dominated by inflammatory signs and retinal detachment. Ultrasonographic A/B-scan showed a funnel-shaped total retinal detachment and a thick solid mass with similar shape just behind it. The main characteristics of the mass were: irregular inside echo pattern, medium high internal reflectivity, no sign of vascularity, no after movements following a sudden ocular movement, and no shadowing of the scleral or orbital tissues behind it. The vitreous cavity in front of the retina and behind the mass was ultrasonographically clear. The described funnel-shaped echographic pattern might be typical of the diffuse infiltrating retinoblastoma.
本文报告了一例8岁单侧视网膜母细胞瘤女孩的病例。临床表现以炎症体征和视网膜脱离为主。超声A/B扫描显示漏斗状全视网膜脱离，其后方有一个形状相似的厚实性肿块。肿块的主要特征为：内部回声模式不规则，内部反射率中等偏高，无血管迹象，眼球突然运动后无后运动，其后方巩膜或眼眶组织无阴影。视网膜前方和肿块后方的玻璃体腔超声检查清晰。所描述的漏斗状超声图像模式可能是弥漫浸润性视网膜母细胞瘤的典型表现。
