临床模拟视网膜血管瘤的脉络膜黑色素瘤。

Choroidal melanoma clinically simulating a retinal angioma.

作者信息

Shields J A, Joffe L, Guibor P

出版信息

Am J Ophthalmol. 1978 Jan;85(1):67-71. doi: 10.1016/s0002-9394(14)76667-x.

PMID:619687

Abstract

An amelanotic fundus lesion in a 35-year-old man was associated with a dilated retinal vessel, thus suggesting the diagnosis of retinal angioma. Fluorescein angiography and B-scan ultrasonography were not diagnostic, but a radioactive phosphorus uptake test suggested the lesion was malignant. The enucleated globe showed a malignant choroidal melanoma drained by a large retinal vein.

摘要

一名35岁男性的无色素性眼底病变与视网膜血管扩张有关，因此提示诊断为视网膜血管瘤。荧光素血管造影和B超检查未明确诊断，但放射性磷摄取试验提示该病变为恶性。摘除的眼球显示为脉络膜恶性黑色素瘤，由一条粗大的视网膜静脉引流。