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原发于角膜的恶性黑色素瘤罕见,我们报道1例。女性,39岁。因左眼发红,发现新生物5mo,于2006-03-28入住我院眼科。眼部检查:右眼视力0.9针孔1.0,左眼视力0.7针孔0.9,光定位和色觉检查正常。左眼颞侧球结膜充血(+),颞侧角膜新生物呈囊状,向角膜中央浸润,角膜上皮层大量色素沉着。初步诊断:左眼角镆新生物(性质待定)。于2006-03-29在局麻下行左眼角膜新生物切除+全板层角膜移植术,术中切除病变组织送病理检查示:左眼角结膜恶性黑色素瘤,免疫组化:HMB45(+),PCK(-)。最后诊断:左眼角结膜恶性黑色素瘤。
Primary corneal malignant melanoma is rare, we report 1 case. Female, 39 years old. Due to the left eye redness, found new biological 5mo, admitted to our hospital in 2006-03-28 ophthalmology. Eye examination: Right eye vision 0.9 pinhole 1.0, left eye 0.7 pinhole 0.9, light positioning and color vision examination was normal. Temporal temporal conjunctival hyperemia (+), temporal corneal neoplasms cystic, infiltration to the cornea, a large number of pigmented corneal epithelium. The initial diagnosis: the left corner of the newborn ((nature to be determined). The left corneal neoplasm and the whole lamellar keratoplasty were performed under local anesthesia at the time of local anesthesia. Pathological examination was performed to remove the lesion tissue during surgery: left conjunctival malignant melanoma, immunohistochemistry: HMB45 (+), PCK (-). The final diagnosis: left corner of conjunctival malignant melanoma.