McGrath Lindsay A, Mudhar Hardeep Singh, Salvi Sachin M
University of Queensland School of Medicine, Brisbane, Queensland, Australia.
Sheffield Ocular Oncology Service, Royal Hallamshire Hospital, Sheffield, United Kingdom.
Ocul Oncol Pathol. 2018 Nov;4(6):370-374. doi: 10.1159/000486863. Epub 2018 Feb 23.
Optic nerve haemangioblastomas remain exceedingly rare extrinsic tumours of the optic nerve, often associated with von Hippel-Lindau disease. The authors report a 25-year-old female with a slowly progressive unilateral optic nerve lesion, causing reduced vision and bilateral optic tract oedema. A diagnosis of optic nerve haemangioblastoma with piloid gliosis was made histologically after surgical resection. This is the first reported case of such dual pathology occurring in the optic nerve. The patient has been monitored without further adjuvant treatment, and has not had a recurrence to date, at 6 years of follow-up.
视神经血管母细胞瘤仍然是极其罕见的视神经外部肿瘤,常与冯·希佩尔-林道病相关。作者报告了一名25岁女性,患有缓慢进展的单侧视神经病变,导致视力下降和双侧视束水肿。手术切除后经组织学诊断为伴有毛细胞性胶质增生的视神经血管母细胞瘤。这是首次报道的视神经出现这种双重病理情况的病例。该患者未接受进一步辅助治疗,目前已随访6年,尚未复发。