Tecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo Leon, Mexico.
Tecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo Leon, Mexico.
J AAPOS. 2021 Feb;25(1):59-62. doi: 10.1016/j.jaapos.2020.10.004. Epub 2021 Feb 15.
A 4-year-old girl presented with leukocoria, vision loss, and painless left eye redness. Posterior segment examination revealed a total retinal detachment and abnormal, tortuous retinal vessels in the left eye. No visible mass, vitreous seeding, or hemorrhage were observed. B-mode ultrasound showed a detached retina in a "cinnamon-roll" configuration. Due to poor visual prognosis and high clinical suspicion of malignancy, enucleation was performed. Further histopathological analysis confirmed the diagnosis of diffuse infiltrative retinoblastoma, with an atypical presentation.
一位 4 岁女孩因白瞳、视力丧失和左眼无痛性眼红就诊。眼部后节检查发现左眼视网膜全脱离,视网膜血管异常、迂曲。未见明显肿块、玻璃体内播散或出血。B 型超声显示视网膜呈“肉桂卷”样脱离。鉴于患儿视力预后不良且高度怀疑为恶性肿瘤,故行眼球摘除术。进一步的组织病理学分析证实为弥漫浸润性视网膜母细胞瘤,表现不典型。