Santos Batista R N, Fernandes A C, Werner L P
Instituto de Olhos Astenio/Yone Fernandes, Paraiba, Brésil.
J Fr Ophtalmol. 1994;17(11):674-8.
A case of trilateral retinoblastoma in a male child of 29 months is described, using a clinical and imaging approach. The patient was first presented with a proptosis, more pronounced in the left eye and with signs of a bilateral glaucoma. Ophthalmologic examination, echography and computed tomography were used to confirm the diagnosis. The importance of clinical examination associated with an imaging approach to evaluate intraocular tumors was emphasized and also the necessity of identifying trilateral retinoblastoma as a distinct entity and to differentiate it from intracranial metastasis or from a single retinoblastoma associated with pineal tumors.
本文采用临床和影像学方法描述了一例29个月大男童的双侧视网膜母细胞瘤病例。该患者最初表现为眼球突出,左眼更为明显,并伴有双侧青光眼体征。通过眼科检查、超声检查和计算机断层扫描来确诊。强调了临床检查与影像学方法相结合以评估眼内肿瘤的重要性,以及将双侧视网膜母细胞瘤识别为一种独特实体并将其与颅内转移瘤或与松果体肿瘤相关的单发性视网膜母细胞瘤相鉴别的必要性。