林锦镛 李恩江 陈瑰 300040 天津眼科医院 中华眼底病杂志 1999 0 15 2


    关键词：脉络膜肿瘤/病理学；血管瘤/病理学；误诊 期刊 zhydbzz 0 论著 fur -->


    

【摘要】 目的 探讨因临床误诊而行眼球摘除的脉络膜血管瘤的临床和病理特征。 方法 对本院病理科从1978年至1997年间收检的7例病理检查证实为脉络膜血管瘤但临床误诊的眼球标本及其临床资料进行分析。 结果 手术前7例中1例被误诊为继发性青光眼绝对期，6例被误诊为脉络膜黑色素瘤。这些病例的临床表现大部分为视力进行性减退，眼底视盘旁扁平隆起的肿物，伴广泛渗出性视网膜脱离。病理证实均为脉络膜海绵状血管瘤，一般呈扁平圆盘状，表面有小灶状或条块状色素沉着斑。 结论 后极部脉络膜扁平形肿物是本组脉络膜血管瘤患者的临床病理学特征，应注意与脉络膜黑色素瘤鉴别。

    中国图书资料分类法分类号 R739.7 R447 R770.2

The clinicopathological analysis of misdiagnosed cases of choroidal hemangioma

    LIN Jinyong,LI Enjiang,Chen Gui.Tianjin EyeHospital,Tianjin 300040,China

【Abstract】 Objective To explorethe clinicopathological features and misdiagnosed causes of choroidal hemangioma. Methods Sevenmisdiagnosed cases(7eyes) of choroidal hemangioma,which were enucleated,were analysedretrospectively. Results One of the 7 cases was misdiagnosed asabsolute phase of the secondary glaucoma,and 6 of them as choroidal melanoma before theenucleation.The majority of cases in this series manifested themselves clinically andpathologically in progressive loss of visual acuity and a flat elevated tumor located atthe posterior ocular fundus near the optic disc and associated with exudative retinaldetachment.And also there were occasionally small focal or linear pigmentary depositesobserved on the surface of the neoplasm. Conclusion A flat elevateddiscoid tumor in the posterior fundus with extensive exudative retinal detachment might bea clinico-pathological feature of the choroidal hemangioma.

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