Wolter J R
Department of Ophthalmology and Pathology, University of Michigan Hospitals, Ann Arbor.
Ophthalmologica. 1989;199(1):34-40. doi: 10.1159/000310012.
The extension of a malignant choroidal melanoma of an epithelioid cell type all through the subretinal space exhibiting a change of its solid state with its own stroma and blood supply in the choroid into a fluid growth phase resembling a tissue culture in the subretinal space is demonstrated in this case. This fluid state is represented by free-floating malignant melanoma cells living without their own stroma or direct blood supply in subretinal exudate. The transitional interface between the solid and fluid neoplastic states of this choroidal melanoma is demonstrated. The development of the fluid state indicates a potential of choroidal melanomas for isolation and survival of its cells without stroma and is related to the process of regional seeding and metastatic dispersion.
在该病例中,展示了上皮样细胞型恶性脉络膜黑色素瘤在整个视网膜下间隙的扩展,其在脉络膜中的固态连同自身的基质和血供转变为类似于视网膜下间隙组织培养的液体生长阶段。这种液体状态由游离漂浮的恶性黑色素瘤细胞所代表,这些细胞在视网膜下渗出液中生存,没有自身的基质或直接血供。展示了该脉络膜黑色素瘤实体和液体肿瘤状态之间的过渡界面。液体状态的发展表明脉络膜黑色素瘤的细胞具有在无基质情况下分离和存活的潜力,并且与局部播散和转移扩散过程相关。