论文部分内容阅读
患者男,17岁。患者于1岁半时曾因右眼视网膜母细胞瘤行右眼球摘除术。术后行~(60)Co治疗,照射总量6750R,肿瘤量5857R。此后全身及局部无任何不适。1981年6月自觉左眼视物模糊,1982年底左眼视力0.04伴颞侧偏盲。于1983年1月4日入院检查:意识清楚,右侧义眼,左眼球运动正常,视力0.04,左颞侧偏盲,视乳头无水肿,颞侧色浅,右鼻唇沟浅,腰穿压力230mmH_2O,蛋白略高。颅骨平片无异常,左颈动脉造影及CT扫描显示鞍区肿瘤,大小约3×3cm,注射造影剂后影象明显增强;右眼眶内未见肿物。
Patient male, 17 years old. Patients underwent right-eye enucleation of the right-eye retinoblastoma at 1 year and a half. Postoperative ~ (60) Co treatment, total irradiation 6750R, tumor amount 5857R. After the whole body and local without any discomfort. June 1981 left eye blurred vision, left eye vision by the end of 1982 with the temporal hemianopsia. January 4, 1983 admission examination: a clear sense of the right eye, the left eye movement is normal, visual acuity of 0.04, left temporal hemianopia, papilledema without edema, temporal pale, right nasolabial fold shallow, lumbar puncture pressure 230mmH_2O, slightly higher protein. Skull plain film without abnormalities, left carotid artery angiography and CT scan showed the saddle area tumor, the size of about 3 × 3cm, after injection of contrast agent significantly enhanced the image; right eye orbital tumor.