Hunyor A B
Aust J Ophthalmol. 1984 May;12(2):105-20.
The modalities used to diagnose choroidal melanoma are described. The use of these procedures has reduced the misdiagnosis rate from 20% in the 1960s to less than 5% today. Observation and reinvestigation of small tumours is recommended. Surgery may cause dissemination of tumour emboli, which may be prevented by gentle handling of tissue, use of intravenous mannitol and hypotensive anaesthesia. Measures other than enucleation are available to treat choroidal melanoma, but few tumours meet the criteria for their use.
本文描述了用于诊断脉络膜黑色素瘤的方法。这些检查方法的应用已使误诊率从20世纪60年代的20%降至如今的不到5%。对于小肿瘤，建议进行观察和复查。手术可能导致肿瘤栓子播散，轻柔处理组织、使用静脉甘露醇和控制性降压麻醉可预防这种情况。除眼球摘除术外，还有其他方法可用于治疗脉络膜黑色素瘤，但符合这些方法使用标准的肿瘤很少。
