Zhang Zheng, Shi Ji-Tong, Wang Ning-Li, Ma Jian-Min
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Vision Science Key Lab, Beijing 100730, China.
Int J Ophthalmol. 2012;5(5):625-9. doi: 10.3980/j.issn.2222-3959.2012.05.16. Epub 2012 Oct 18.
Retinoblastoma is the most common childhood primary intraocular malignancy, with the majority of cases being diagnosed before 5 years of age. Retinoblastoma in adults is extremely rare. Here, we report the case of a 20-year-old man who presented with a 3 year history of blurred vision in the right eye. Imaging did not reveal the typical presentation of retinoblastoma. After considering Coats' disease, a diagnosis of late-presenting retinoblastoma was made through cytological analysis. Diagnosis of retinoblastoma should be considered in the presence of uncertain mass lesions in the fundus of an adult.
视网膜母细胞瘤是儿童最常见的原发性眼内恶性肿瘤,大多数病例在5岁前被诊断出来。成人视网膜母细胞瘤极为罕见。在此,我们报告一例20岁男性病例,该患者右眼视力模糊已有3年病史。影像学检查未发现视网膜母细胞瘤的典型表现。在考虑了科茨病之后,通过细胞学分析确诊为迟发性视网膜母细胞瘤。对于成人眼底存在不确定的肿块病变时,应考虑视网膜母细胞瘤的诊断。