葡萄膜肿瘤的临床和病理分析

目的 :研究经病理检查证实的葡萄膜肿瘤。方法 :回顾分析 4 3例成人眼内肿瘤的临床与病理检查资料。结果 :4 3例葡萄膜肿瘤中黑色素性肿瘤 37例 (86 % ) ,其中脉络膜黑色素瘤 32例 ,睫状体黑色素瘤 4例 ,黑色素细胞瘤 1例 ;非黑色素性肿瘤 6例 (14% ) ,其中脉络膜转移癌、睫状体良性上皮腺瘤各 2例、脉络膜横纹肌肉瘤、睫状体浆细胞肉芽肿各 1例。术前诊断 34例黑色素瘤 ,术后与病理诊断不符合者 3例(8 8% )。结论 :葡萄膜肿瘤中黑色素性肿瘤为主 ,以恶性肿瘤居多 ,其中黑色素瘤常见。眼底荧光造影、B超和MRI是重要的辅助检查 ,但需结合临床表现综合分析。目前手术治疗仍是主要的治疗方法

The clinical and pathological study on uveal tumor

Objective:To study the uveal tumors confirmed by pathology. Method:Retrospective study on clinical diagnosis,pathological examination and surgical treatment of uveal tumor in 43 adults were conducted.Result:37 of 43 cases (86%) were melanoma,in which 32 of them were derived form choroid,4 from ciliary body;1 was melanocytoma;while 6 (14%) were non-melanin tumor,which consisted of 2 metastatic tumor in choroid,1 rhabdomyosarcoma,2 epithelioadenoma of ciliary body,1 plasnoma.3 (8.8%) of 34 cases which were clinically diagnosed as melanoma before surgery were not in according with pathological diagnosis after surgery. Conclusion:Melanoma is the main type of uveal tumor and most of them are malignant.Fundus fluorescine angiography,B-mode-ultrasonography and MRI are important auxillary examinations,but they should be analysed with clinical manifestation.Surgery is still the main therpeutic way.