无虹膜异色症的虹膜木薯样黑色素瘤。
Tapioca melanoma of the iris without iris heterochromia.
作者信息
Bach Austin, McGowan Sara, Gold Aaron S, Villegas Victor M, Wildner Andrea C, Ehlies Fiona J, Thompson Jordan M, Bermudez-Magner Jose Antonio, Dubovy Sander R, Murray Timothy G
机构信息
*DO, MPH †OD ‡MD §CRA ∥BSc(Hons), CDOS **MD, MBA Nova Southeastern University College of Osteopathic Medicine (AB), Fort Lauderdale-Davie, Florida and Larkin Community Hospital, South Miami, Florida; Malawi School of Optometry (SMc), Mzuzu University, Malawi; Murray Ocular Oncology & Retina (ASG, VMV, ACW, FJE, TGM), Miami, Florida; Bascom Palmer Eye Institute (JMT, JAB-M, SRD), Miller School of Medicine, University of Miami, Miami, Florida; and Florida Lions Ocular Pathology Laboratory (SRD), Miami, Florida.
出版信息
Optom Vis Sci. 2014 Apr;91(4 Suppl 1):S20-4. doi: 10.1097/OPX.0000000000000187.
PURPOSE
A case of a teenage girl with tapioca melanoma of the iris is presented. This case is unusual, as the patient did not have heterochromia and did not present with elevated intraocular pressure.
CASE REPORT
A 14-year-old female patient presented with an amelanotic, multinodular, multifocal lesion of the right iris. Pathology confirmed a diagnosis of tapioca melanoma using immunohistologic staining. The patient underwent enucleation of her right eye and has been free of metastatic disease 3 years later.
CONCLUSIONS
Tapioca melanoma of the iris must be included among the other differential diagnoses when examining patients with amelanotic iris lesions, even when iris heterochromia is not clearly evident.
目的
报告一例患有虹膜木薯样黑色素瘤的青少年女性病例。该病例不同寻常，因为患者没有异色症且眼压未升高。
病例报告
一名14岁女性患者，右眼虹膜出现无色素、多结节、多灶性病变。病理检查通过免疫组织化学染色确诊为木薯样黑色素瘤。患者接受了右眼眼球摘除术，3年后无转移疾病。
结论
在检查无色素虹膜病变患者时，即使虹膜异色症不明显，虹膜木薯样黑色素瘤也必须列入其他鉴别诊断之中。
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