论文部分内容阅读
对临床疑为脉络膜恶性黑色素瘤２６例行多种影像检查及病理学检查。结果２０例Ｂ超示眼球内实质性不均质占位；１６例眼底荧光血管造影（ＦＦＡ）示肿瘤内斑驳状荧光、肿瘤自身血管等特征性改变；１２例ＣＴ扫描示眼球内高密度块状影像；１例ＭＲＩ报告Ｔ１加权呈高信号，Ｔ２加权呈低信号，均经病检证实。眼球摘除２５例，眼眶内容剜出术２例。行ＣＴ、Ｂ超、ＦＦＡ等综合多种检查可提高临床确诊率和避免误诊。
On the clinical suspicion of choroidal malignant melanoma in 26 cases a variety of imaging and pathological examination. Results 20 cases of B ultrasound showed substantial intraocular non-homogeneous mass; 16 cases of fundus fluorescein angiography (FFA) showed tumor mottled fluorescence, tumor autologous blood vessels and other characteristic changes; 12 cases of CT scan showed intraocular high density block 1 case of MRI report showed a high signal T1 weighted, T2 weighted low signal were confirmed by pathological examination. There were 25 cases of enucleation and 2 cases of orbital contents. CT, B ultrasound, FFA and other comprehensive multiple tests can improve the clinical diagnosis and avoid misdiagnosis.