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作 者:Xin Tang Hai-Ming Ji Wen-Wen Li Zhong-Xiang Ding Sheng-Li Ye
机构地区:[1]Department of Radiology,Hangzhou Wuyunshan Hospital,Hangzhou Health Promotion Research Institute,Hangzhou 310008,Zhejiang Province,China [2]Department of Radiology,Liangzhu Hospital,Hangzhou 311112,Zhejiang Province,China [3]Department of Radiology,Jingmen No.1 People’s Hospital,Jingmen 448000,Hubei Province,China [4]Department of Radiology,Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province,Affiliated Hangzhou First People’s Hospital,Zhejiang University School of Medicine,Hangzhou 310006,Zhejiang Province,China [5]Department of Radiology,Shulan(Hangzhou)Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College,Hangzhou 310022,Zhejiang Province,China
出 处:《World Journal of Clinical Cases》2023年第3期692-699,共8页世界临床病例杂志
基 金:Supported by the National Natural Science Foundation of China,No.81871337;the Natural Science Foundation of Zhejiang Province,No.LY16H180007。
摘 要:BACKGROUND Hemangioblastoma typically occurs in the cerebellum,spinal cord,and central nervous system.However,in rare cases,it could occur in the retina or optic nerve.The prevalence of retinal hemangioblastoma is 1 in 73080,and it occurs either alone or as the manifestation of von Hippel Lindau(VHL)disease.Here,we reported a rare case with the imaging features of retinal hemangioblastoma without VHL syndrome,along with the relevant literature review.CASE SUMMARY A 53-year-old man had progressive swelling,pain and blurred vision in the left eye without obvious inducement for 15 d.Ultrasonography revealed a possible optic nerve head melanoma.Computed tomography(CT)showed punctate calcification on the posterior wall of the left eye ring and small patchy soft tissue density in the posterior part of the eyeball.Magnetic resonance imaging showed slightly hyperintense signal on T1-weighted images and slightly hypointense-toisointense signal on T2-weighted images at the medial and posterior edges of the left eyeball,a significant enhancement was observed in the contrast-enhanced scans.Positron emission tomography/CT fusion images showed that the glucose metabolism of the lesion was normal.Pathology was consistent with hemangioblastoma.CONCLUSION Early identification of retinal hemangioblastoma based on imaging features is of great value for its personalized treatment.
关 键 词:ULTRASOUND Computed tomography Magnetic resonance imaging Positron emission tomography Case report
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