Pérez-Campagne E, Guex-Crosier Y, Schalenbourg A, Uffer S, Zografos L
Hopital Ophtalmique Jules Gonin, Université de Lausanne, Lausanne, Switzerland.
Arch Soc Esp Oftalmol. 2007 Sep;82(9):563-6. doi: 10.4321/s0365-66912007000900010.
A 30-year-old man was referred to our ocular oncology service with a diagnosis of amelanotic choroidal melanoma of the left eye. The following tests were performed: ophthalmoscopy, fluorescein angiography, indocyanine green angiography, ultrasonography, magnetic resonance imaging and biopsy.
The diagnosis of giant nodular posterior scleritis, as suggested by ultrasonography, was confirmed by biopsy. A comprehensive medical evaluation was performed, but no etiology was found. The histology revealed a granuloma compatible with ocular sarcoidosis. A rapid response was obtained by systemic steroid administration (1 mg/kg). Sarcoidosis continues to be a challenge in diagnosis. It is important to distinguish nodular posterior scleritis from choroidal melanoma.
一名30岁男性因左眼无色素性脉络膜黑色素瘤被转诊至我们的眼科肿瘤服务部门。进行了以下检查：检眼镜检查、荧光素血管造影、吲哚菁绿血管造影、超声检查、磁共振成像和活检。
超声检查提示的巨大结节性后巩膜炎诊断经活检得以证实。进行了全面的医学评估，但未发现病因。组织学检查显示为与眼部结节病相符的肉芽肿。通过全身给予类固醇（1毫克/千克）获得了快速反应。结节病在诊断方面仍然是一项挑战。将结节性后巩膜炎与脉络膜黑色素瘤区分开来很重要。
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