Palamar Melis, Shields Carol L, Marr Brian P, Eagle Ralph C, Shields Jerry A
Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Eur J Ophthalmol. 2009 May-Jun;19(3):487-9. doi: 10.1177/112067210901900329.
To report a case of low-grade adenocarcinoma of the retinal pigment epithelium (RPE) in a young Asian woman.
Interventional case report with histopathologic correlation.
A 28-year-old Asian woman with a year-long history of floaters presented with a dark pigmented lesion in the right eye. Partial lamellar sclerouvectomy was performed and histopathology revealed a retina pigment epithelial neoplasm consistent with a low-grade adenocarcinoma. The patient responded well to the surgery with no complications.
Neoplasms of RPE are rare but must be differentiated from choroidal melanoma, as they do not tend to metastasize. Local resection can be a good option for peripheral RPE tumors.
报告一例年轻亚洲女性视网膜色素上皮（RPE）低度腺癌病例。
伴有组织病理学相关性的介入性病例报告。
一名有一年飞蚊症病史的28岁亚洲女性右眼出现一个深色色素沉着病变。进行了部分板层巩膜葡萄膜切除术，组织病理学显示为与低度腺癌一致的视网膜色素上皮肿瘤。患者对手术反应良好，无并发症。
RPE肿瘤罕见，但必须与脉络膜黑色素瘤相鉴别，因为它们不易发生转移。局部切除对于周边RPE肿瘤可能是一个不错的选择。
