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[眼科放射性磷摄取试验]

[Radioactive phosphorus uptake test in ophthalmology].

作者信息

Honrubia F M, Navarro A, Abad M P, Albalad E, Olivan J M

出版信息

J Fr Ophtalmol. 1982;5(10):579-83.

PMID:7153462
Abstract

The ophthalmology radioactive phosphorus uptake test has been utilized in the differential diagnosis of intra ocular lesions in 21 patients. In the majority of the cases the diagnosis was histologically confirmed. When the lesion is located in the anterior part of the globe, it is not necessary to make an incision of the conjunctiva to perform the test. If the lesion is located in the posterior segment, the test is performed by the transscleral route, with surgical incision of the conjunctiva and with indirect ophthalmoscopy control when possible. In 3 patients with choroidal hemangioma were results false-positives, observed with inferior P32 uptake to that in patients with choroidal melanomas. One false-negative result was obtained in a patient with a clinical diagnosis of uveal malignant melanoma, histologically confirmed after enucleation of the globe. In all others patients with uveal malignant melanoma results were highly positive.

摘要

眼科放射性磷摄取试验已用于21例眼内病变的鉴别诊断。大多数病例的诊断经组织学证实。当病变位于眼球前部时,无需切开结膜即可进行该试验。如果病变位于后段,则通过经巩膜途径进行试验,切开结膜,并尽可能在间接检眼镜控制下进行。3例脉络膜血管瘤患者结果为假阳性,观察到其磷-32摄取低于脉络膜黑色素瘤患者。1例临床诊断为葡萄膜恶性黑色素瘤的患者出现假阴性结果,眼球摘除术后经组织学证实。所有其他葡萄膜恶性黑色素瘤患者的结果均为高度阳性。

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