Vlková E, Winklerová S, Riebel O
Cesk Oftalmol. 1989 Nov;45(6):464-7.
A pigmented lesion of the iris followed up for five years in a 31-year-old female patient with marked progress during the past two years which led to block excision of the formation. Clinical signs (growth, vascularization, pigmentation and blood in the angle) as well as results of auxiliary examinations (ultrasound, fluorescein angiography) suggested a malignant lesion. However, histological examination provided evidence of the benign nature of the formation. Contemporary diagnostic non-invasive methods cannot decide definitely on the nature of a progressing neoplasm of the iris. The authors recommend long-term patient observation of these patients and surgery only in fully indicated cases.
一名31岁女性患者的虹膜色素沉着病变随访了五年，在过去两年中病变有明显进展，最终进行了肿物整块切除。临床体征（生长、血管化、色素沉着和房角积血）以及辅助检查结果（超声、荧光素血管造影）提示为恶性病变。然而，组织学检查证实该肿物为良性。目前的诊断性非侵入性方法无法明确判断进展性虹膜肿瘤的性质。作者建议对这些患者进行长期观察，仅在完全指征明确的情况下进行手术。
