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脉络膜骨瘤的自发性脱钙

Spontaneous decalcification of a choroidal osteoma.

作者信息

Trimble S N, Schatz H, Schneider G B

机构信息

Department of Ophthalmology, Loyola University Medical Center, Maywood.

出版信息

Ophthalmology. 1988 May;95(5):631-4. doi: 10.1016/s0161-6420(88)33144-1.

DOI:10.1016/s0161-6420(88)33144-1
PMID:3050699
Abstract

A 23-year-old woman presented with a clearly defined, pale orange choroidal tumor superior to the right optic disc in 1976. The patient was followed. After a choroidal osteoma was first reported in 1977, this diagnosis was confirmed in this patient using ultrasonography and orbital tomography. The lesion grew very slowly over the next 5 years. In 1981, the choroidal osteoma began to thin and decalcify. Subretinal neovascularization developed in 1982 and was treated with argon laser photocoagulation. In 1983, the tumor was thinner and less calcified. During the next 18 months, it became completely decalcified and essentially disappeared leaving only a bed of pigment epithelial and choriocapillaris atrophy. This was confirmed with fluorescein angiography and ultrasonography.

摘要

1976年,一名23岁女性患者右眼视盘上方出现一个边界清晰的淡橙色脉络膜肿瘤。对该患者进行了随访。1977年首次报道脉络膜骨瘤后,通过超声检查和眼眶断层扫描确诊该患者患有此病。在接下来的5年里,病变生长非常缓慢。1981年,脉络膜骨瘤开始变薄并脱钙。1982年出现视网膜下新生血管,并接受了氩激光光凝治疗。1983年,肿瘤更薄且钙化程度更低。在接下来的18个月里,它完全脱钙并基本消失,仅留下一层色素上皮和脉络膜毛细血管萎缩区。荧光素血管造影和超声检查证实了这一点。

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