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[睫状体平滑肌瘤——误诊导致非传统但成功的手术方法]

[Leiomyoma of the ciliary body - misdiagnosis leading to an unconventional but successful surgical approach].

作者信息

Gloor B P, Daicker B, Gafner F

出版信息

Klin Monbl Augenheilkd. 1979 Dec;175(6):760-6.

PMID:552000
Abstract

Report on a leiomyoma of the ciliary body in a 12-year-old girl. The clinical findings were misinterpreted as a traumatic ciliary body cyst because of the associated iridodialysis, the fact that the tumor could be transilluminated, because it appeared cystic on ultrasonography, and because there was a history of severe cranial trauma. In the course of an attempt to puncture the presumed cyst a cherry-sized ciliary body tumor was revealed. It proved possible to shell this out without performing an iridocyclectomy. An elective enucleation would have been performed had the true diagnosis been known preoperatively. Due to the misdiagnosis and the resulting unconventional approach the eye was preserved with some residual functions. the histological picture was that of a leiomyoma, a tumor rarely found in the ciliary body. The histological and electronmicroscopic appearance are described and compared with the few cases previously reported.

摘要

12岁女孩睫状体平滑肌瘤报告。由于伴有虹膜根部离断、肿瘤可透照、超声检查显示为囊性以及有严重颅脑外伤史,临床检查结果被误诊为外伤性睫状体囊肿。在试图穿刺假定的囊肿过程中,发现了一个樱桃大小的睫状体肿瘤。结果证明可以将其完整剥除而无需进行虹膜睫状体切除术。如果术前已知正确诊断,本应进行择期眼球摘除术。由于误诊以及由此导致的非常规治疗方法,该眼得以保留并保留了一些残余功能。组织学表现为平滑肌瘤,这是一种在睫状体中很少见的肿瘤。本文描述了其组织学和电子显微镜表现,并与先前报道的少数病例进行了比较。

相似文献

1
[Leiomyoma of the ciliary body - misdiagnosis leading to an unconventional but successful surgical approach].[睫状体平滑肌瘤——误诊导致非传统但成功的手术方法]
Klin Monbl Augenheilkd. 1979 Dec;175(6):760-6.
2
[Leimyoma of the ciliary body: clinical, fluorescein-angiographic and histological findings (author's transl)].[睫状体平滑肌瘤:临床、荧光素血管造影及组织学表现(作者译)]
Klin Monbl Augenheilkd. 1979 Nov;175(5):704-10.
3
[Mesectodermal leiomyoma of the ciliary body--case report].[睫状体中胚叶平滑肌瘤——病例报告]
Klin Oczna. 2009;111(10-12):350-3.
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Unusual uveal tract tumor: mesectodermal leiomyoma of the ciliary body.罕见的葡萄膜肿瘤:睫状体中胚叶平滑肌瘤。
Pathol Int. 2004 May;54(5):337-42. doi: 10.1111/j.1440-1827.2004.01628.x.
5
[Iris and ciliary body tumors].[虹膜和睫状体肿瘤]
J Fr Ophtalmol. 1979 Aug-Sep;2(8-9):501-12.
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Unusual ciliary body tumor. Mesectodermal leiomyoma.罕见的睫状体肿瘤。中胚层平滑肌瘤。
Ophthalmology. 1982 Oct;89(10):1208-12. doi: 10.1016/s0161-6420(82)34657-6.
7
[Mesectodermal leiomyoma of the ciliary body--clinical aspects, surgery and immunohistochemistry].[睫状体中胚叶平滑肌瘤——临床特征、手术及免疫组织化学]
Fortschr Ophthalmol. 1989;86(6):631-5.
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Symposium on management of melanoma of the uveal tract. Errors in diagnosis.葡萄膜黑色素瘤管理研讨会。诊断错误。
Trans Ophthalmol Soc U K (1962). 1973;93(0):93-102.
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Leiomyoma of the ciliary body.
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1978 Dec 15;209(2):89-98. doi: 10.1007/BF00407842.
10
Mesectodermal leiomyoma of the ciliary body associated with a nevus.睫状体中胚叶外胚层平滑肌瘤伴痣
Arch Ophthalmol. 1978 Apr;96(4):692-5. doi: 10.1001/archopht.1978.03910050382017.

引用本文的文献

1
Transscleral resection of a ciliary body leiomyoma in a child: case report and review of the literature.儿童睫状体平滑肌瘤的经巩膜切除术:病例报告及文献复习
Graefes Arch Clin Exp Ophthalmol. 2003 Nov;241(11):953-7. doi: 10.1007/s00417-003-0766-x. Epub 2003 Nov 1.