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许多虹膜病变的临床表现与恶性黑色素瘤相似,故临床上有时可将某些虹膜病变误诊为恶性黑色素瘤,从而导致不必要的手术甚至眼球摘除。Ferry(1965)报告因怀疑虹膜黑色素瘤而摘除的69只眼中有24只为假性黑色素瘤,误诊率达35%,其中包括前葡萄肿、虹膜炎症性团块、虹膜基质萎缩及角膜穿孔等。本文对1974—1980年连续200例怀疑为虹膜恶性黑色素瘤的病人进行了临床研究,提出虹膜恶性黑色素瘤的诊断标准,各种假性黑色素瘤的发生率,以及它们的处理等。
Many of the clinical manifestations of iris lesions and malignant melanoma similar, it is sometimes clinically misdiagnosed as some of the iris lesions malignant melanoma, resulting in unnecessary surgery or even enucleation. Ferry (1965) reported that 24 of 69 eyes removed for suspected iris melanoma were pseudo-melanomas with a misdiagnosis rate of 35%, including pre-grafts, iris inflammatory masses, atrophy of the iris and corneal perforation . This article from 1974 to 1980 consecutive 200 cases of suspected patients with iris malignant melanoma were studied, the diagnosis of iris malignant melanoma diagnostic criteria, the incidence of various pseudo-melanoma, and their treatment.