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为探讨非视网膜母细胞瘤(NRb)与视网膜母细瘤(Rb)的鉴别诊断及误诊原因,回顾分析了24例病理检查为NRb病例的临床表现和辅助检查。结果:NRb占临床诊断Rb总病例的12.8%,病理诊断主要为Coats病、转移性眼内炎、陈旧性视网膜脱离等。除仔细收集临床资料,密切结合辅助检查外,必要时细针抽吸活检和应用染色体、分子生物学技术以提高诊断水平。
To investigate the causes of differential diagnosis and misdiagnosis of non-retinoblastoma (NRb) and retinoblastoma (Rb), the clinical manifestations and laboratory tests of 24 NRb cases were retrospectively analyzed. Results: NRb accounted for 12.8% of the total Rb in clinical diagnosis. The main pathological diagnosis was Coats disease, metastatic endophthalmitis and old retinal detachment. In addition to careful collection of clinical data, combined with the close examination of auxiliary examinations, if necessary fine needle aspiration biopsy and the application of chromosomes, molecular biology techniques to improve the diagnostic level.