Seregard S, Ek U, Preisler G, af Trampe E, Jacobson L, Oskar K, Illerståhl I, Kock E
S:t Eriks ögonsjukhus, Stockhlm.
Lakartidningen. 1996 Mar 20;93(12):1133-5.
Retinoblastoma is an uncommon but highly malignant ocular tumour of the early childhood. The delay in diagnosis following presentation at a health care facility was studied for 22 consecutive cases derived from the National Retinoblastoma Center in Sweden. Four of the children were regularly examined owing to a family history of retinoblastoma, but among the remaining 18 children the delay in diagnosis exceeded one month in five cases (including all children presenting with squint). However, there was no appreciable delay once appropriate fundus examination had been performed, thus stressing the need of early ophthalmological assessment in all cases of children manifesting signs consistent with retinoblastoma.
视网膜母细胞瘤是一种罕见但恶性程度很高的儿童早期眼部肿瘤。对来自瑞典国家视网膜母细胞瘤中心的连续22例病例进行了研究,以探讨在医疗机构就诊后诊断延迟的情况。其中4名儿童因有视网膜母细胞瘤家族史而接受了定期检查,但在其余18名儿童中,有5例诊断延迟超过1个月(包括所有表现为斜视的儿童)。然而,一旦进行了适当的眼底检查,就没有明显的延迟,因此强调对于所有出现与视网膜母细胞瘤相符体征的儿童病例,都需要进行早期眼科评估。