孤立性眼内淋巴瘤作为广泛疾病的初始表现。

Solitary intraocular lymphoma as an initial presentation of widespread disease.

作者信息

Fredrick D R, Char D H, Ljung B M, Brinton D A

机构信息

Department of Ophthalmology, Francis I. Proctor Foundation, San Francisco, CA.

出版信息

Arch Ophthalmol. 1989 Mar;107(3):395-7. doi: 10.1001/archopht.1989.01070010405034.

DOI:10.1001/archopht.1989.01070010405034

PMID:2647068

Abstract

A patient presented with a large peripapillary choroidal mass as the initial manifestation of widespread, poorly differentiated, large cell lymphoma. The choroidal tumor had clinical and ultrasonographic characteristics of a uveal malignant melanoma. A systemic evaluation and fine-needle aspiration biopsy specimens of the abdomen and choroid established the diagnosis of a lymphoma. On rare occasion, other neoplasms can simulate the diagnostic pattern of uveal melanoma, and fine-needle aspiration biopsy can be crucial in establishing the correct diagnosis.

摘要

一名患者以视乳头周围脉络膜大肿块为首发表现，诊断为广泛播散的低分化大细胞淋巴瘤。脉络膜肿瘤具有葡萄膜恶性黑色素瘤的临床及超声特征。经全身评估及腹部和脉络膜细针穿刺活检标本确诊为淋巴瘤。极少数情况下，其他肿瘤可模拟葡萄膜黑色素瘤的诊断模式，细针穿刺活检对确立正确诊断至关重要。