脉络膜血管瘤误诊病例的临床病理学分析  

The clinicopathological analysis of misdiagnosed cases of choroidal hemangioma

作　　者：林锦镛[1] 李恩江[1] 陈瑰 

机构地区：[1]天津眼科医院

出　　处：《中华眼底病杂志》1999年第2期91-93,共3页Chinese Journal of Ocular Fundus Diseases

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。bjective To explore the clinicopathological features and misdiagnosed causes of choroidal hemangioma. MethodsZSeven misdiagnosed cases(7eyes) of choroidal hemangioma,which were enucleated, were analysed retrospectively. Results One of the 7 cases was misdiagnosed as absolute phase of the secondary glaucoma,and 6 of them as choroidal melanoma before the enucleation. The majority of cases in this series manifested themselves clinically and pathologically in progressive loss of visual acuity and a flat elevated tumor located at the posterior ocular fundus near the optic disc and associated with exudative retinal detachment.And also there were occasionally small focal or linear pigmentary deposites observed onthe surface of the neoplasm. Conclusion A flat elevated discoid tumor in the posterior fundus with extensive exudative retinal detachment might be a clinicopathological feature of the choroidal hemangioma.

关 键 词：脉络膜肿瘤 病理学 误诊 脉络膜血管瘤 诊断 

分 类 号：R739.72[医药卫生—肿瘤]