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脉络膜神经鞘瘤——一种不常见的临床误诊。

Choroidal neurilemmoma--an unusual clinical misdiagnosis.

作者信息

Packard R B, Harry J

出版信息

Br J Ophthalmol. 1981 Mar;65(3):189-91. doi: 10.1136/bjo.65.3.189.

DOI:10.1136/bjo.65.3.189
PMID:7225312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1039461/
Abstract

A case of choroidal neurilemmoma is reported. After a period of clinical observation which included serial fundus photography and fluorescein angiography, during which time active growth was seen, the tumour was thought to be a malignant melanoma, and enucleation was considered the treatment of choice. Subsequent histological study revealed a neurilemmoma. Important points relating to the clinical diagnosis of lesions presenting in this way are discussed.

摘要

报告了一例脉络膜神经鞘瘤。经过一段时间的临床观察，包括系列眼底照相和荧光素血管造影，在此期间可见肿瘤有活跃生长，当时认为该肿瘤是恶性黑色素瘤，眼球摘除术被认为是首选治疗方法。随后的组织学研究显示为神经鞘瘤。讨论了与以这种方式呈现的病变的临床诊断相关的要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/759a5382cf87/brjopthal00183-0060-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/53b9e519bf82/brjopthal00183-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/006c9b067b07/brjopthal00183-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/85a4bee625a7/brjopthal00183-0060-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/759a5382cf87/brjopthal00183-0060-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/53b9e519bf82/brjopthal00183-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/006c9b067b07/brjopthal00183-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/85a4bee625a7/brjopthal00183-0060-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c370/1039461/759a5382cf87/brjopthal00183-0060-c.jpg

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本文引用的文献

1
CASE OF NEUROFIBROMA OF THE CHOROID.脉络膜神经纤维瘤病例
Br J Ophthalmol. 1944 Apr;28(4):177-80. doi: 10.1136/bjo.28.4.177.
2
LESIONS MISTAKEN FOR MALIGNANT MELANOMA OF THE POSTERIOR UVEA. A CLINICOPATHOLOGIC ANALYSIS OF 100 CASES WITH OPHTHALMOSCOPICALLY VISIBLE LESIONS.误诊为后葡萄膜恶性黑色素瘤的病变。对100例眼底镜可见病变的临床病理分析
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Neurilemmoma of the anterior ethmoidal nerve encroaching upon the nasolacrimal duct.侵犯鼻泪管的筛前神经神经鞘瘤。
Br J Ophthalmol. 1992 Dec;76(12):750-2. doi: 10.1136/bjo.76.12.750.
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The misdiagnosed choroidal melanoma.
Can J Ophthalmol. 1967 Jul;2(3):209-11.
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Erroneous clinical diagnoses of retinoblastoma and uveal melanoma.
Trans Am Acad Ophthalmol Otolaryngol. 1969 Mar-Apr;73(2):199-203.
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Lesions simulating malignant melanoma of the posterior uvea.模拟后葡萄膜恶性黑色素瘤的病变。
Arch Ophthalmol. 1973 Jun;89(6):466-71. doi: 10.1001/archopht.1973.01000040468004.
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Improvements in the diagnosis of posterior uveal melanomas.后葡萄膜黑色素瘤诊断方法的改进。
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8
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.
9
[Choroid neurilemmoma. Considerations for clinical differential diagnostics].[脉络膜神经鞘瘤。临床鉴别诊断的考量因素]
Klin Monbl Augenheilkd. 1976 Dec;169(6):750-4.
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Problems in the differential diagnosis of choroidal nevi and malignant melanoma. XXXIII Edward Jackson Memorial lecture.脉络膜痣与恶性黑色素瘤鉴别诊断中的问题。第三十三届爱德华·杰克逊纪念讲座
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