Schmitz E J, Herwig M C, Holz F G, Bierhoff E, Löffler K U
Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland.
Sektion Ophthalmopathologie, Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland.
Ophthalmologe. 2017 Aug;114(8):737-740. doi: 10.1007/s00347-016-0365-y.
A 52-year-old male caucasian patient presented with a limbal subconjunctival pigmentation of unknown origin with progressive enlargement over the past years. Differential diagnoses included a malignant melanocytic lesion; therefore, an excisional biopsy was performed. Prior investigations showed no ciliary body or anterior chamber angle involvement. Histological and immunohistochemical analysis revealed the rare diagnosis of a scleral nevus. The clinical, histological and immunohistochemical findings as well as the relevant differential diagnoses are discussed.
一名52岁的白种男性患者出现角膜缘结膜下色素沉着,病因不明,在过去几年中逐渐增大。鉴别诊断包括恶性黑素细胞病变;因此,进行了切除活检。先前的检查未发现睫状体或前房角受累。组织学和免疫组织化学分析显示罕见的巩膜痣诊断。讨论了临床、组织学和免疫组织化学结果以及相关的鉴别诊断。