Rehůrek J, Autrata R
Klinika dĕtské oftalmologie LF MU a FDN, Brno.
Cesk Slov Oftalmol. 1997 Aug;53(4):215-9.
The authors present data on problems associated with the diagnosis of orbital rhabdomyosarcoma in children. They analyze a ten-year period during which they verified in a department of child ophthalmology the disease in four children. The presence of the tumour is one per 60,000 out-patient examinations and during the follow-up period it had a seven times rarer incidence than retinoblastoma. The authors emphasize the varied clinical picture of the tumour and its differential diagnostic pitfalls and the possibility of mistaking temporarily the tumour for inflammatory or post-traumatic orbital changes. The authors remind of the necessity to consider the possible presence of rhabdomyosarcoma in all rapidly growing tumourous orbital processes, in particular in young children.
作者展示了与儿童眼眶横纹肌肉瘤诊断相关问题的数据。他们分析了十年期间，在儿童眼科科室确诊的4例该疾病患儿。每60000次门诊检查中有1例出现肿瘤，在随访期间，其发病率比视网膜母细胞瘤低7倍。作者强调了该肿瘤多样的临床表现、鉴别诊断的陷阱以及将肿瘤暂时误诊为炎症性或创伤后眼眶病变的可能性。作者提醒，在所有快速生长的眼眶肿瘤性病变中，尤其是在幼儿中，有必要考虑横纹肌肉瘤存在的可能性。
