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视乳头黑色素细胞瘤是原发于视乳头的良性肿瘤,比较少见。以前对它的性质尚有争论,有人认为是恶性肿瘤,甚至在组织学检查以后,仍有人主张应把它列为恶性肿瘤的范围。近年来,各国眼科学家对本病作了大量临床和病理观察,已经认识到它是良性肿瘤。例1 袁×女56岁1979年初诊,主诉左眼视力减退已四个月。眼部检查:左眼视力0.6,眼球前节正常,视乳头上可见一黑色肿物,约视乳头的2/3大小,隆起+2D,边缘呈锯齿状,视网膜血管和黄斑部正常,眼压正常,视野检查仅生理盲点扩大,X线检查左侧视神经孔正常。眼底荧光血管造影,视乳头早期背景
Optic myeloma is a benign tumor that originates in the optic nerve and is relatively rare. There was controversy about its nature before, some thought it was a malignancy, and even after histological examination, some argued that it should be classified as a malignancy. In recent years, various countries ophthalmologists made a lot of clinical and pathological observations of the disease, it has been recognized that it is a benign tumor. Example 1 × × 56-year-old woman first diagnosed in 1979, complained of left eye vision loss has been four months. Eye examination: visual acuity of 0.6 left eye, anterior eye section normal, a black mass seen on the optic disc, about 2/3 of the size of the nipple, uplift +2 D, jagged edges, normal retinal blood vessels and macular, intraocular pressure Normal, visual field only physiological blind spots to expand, X-ray examination of the left optic nerve hole normal. Fundus fluorescein angiography, optic disc early background