[伴有广泛眼内生长的视神经鞘脑膜瘤]
[Meningioma of the optic nerve sheath with extensive intraocular growth].
作者信息
Rohrbach J M, Wilhelm H, Eichhorn M, Ioannakis K, Zimmermann-Burg B, Wakat J P
机构信息
Abteilung I, Universitäts-Augenklinik Tübingen.
出版信息
Klin Monbl Augenheilkd. 1993 Dec;203(6):423-9. doi: 10.1055/s-2008-1045700.
PATIENT
We report on an elderly female patient with a diagnosis of an optic nerve sheath meningioma 11 years after onset of ophthalmological symptoms. 8 years after diagnosis and consecutive tumour-resection near the orbital apex the eye had to be enucleated because of a painful secondary glaucoma. Prior to enucleation computed tomography had revealed extra- and intraocular tumour.
MORPHOLOGY
Morphological investigations showed a neoplasia which had entered the eye via the optic nerve head. Besides severe secondary changes there was a diffuse tumour spread within the choroid and a "mushroom-like" growth towards the vitreous cavity. No differences between extra- and intraocular meningioma were found light- and electronmicroscopically.
患者
我们报告一名老年女性患者，在眼科症状出现11年后被诊断为视神经鞘膜瘤。诊断8年后，在眶尖附近连续进行肿瘤切除，由于疼痛性继发性青光眼，不得不摘除眼球。摘除眼球前，计算机断层扫描显示眼外和眼内均有肿瘤。
形态学
形态学检查显示肿瘤通过视神经乳头进入眼内。除严重的继发性改变外，脉络膜内有弥漫性肿瘤扩散，并向玻璃体腔呈“蘑菇样”生长。光镜和电镜检查未发现眼外和眼内脑膜瘤有差异。
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