脉络膜骨瘤误诊为脉络膜恶性黑色素瘤7例临床分析

Choroidal osteoma misdiagnosed as malignant melanoma of the choroids in 7 cases

目的:探讨脉络膜骨瘤与脉络膜恶性黑色素瘤临床检查的鉴别要点,防止误诊发生。方法:对7例脉络膜骨瘤误诊为脉络膜恶性黑色素瘤患者的专科检查、B超、CT检查进行回顾性分析鉴别。结果:我院自1995年以来共收治7例脉络膜骨瘤误诊为脉络膜恶性黑色素瘤患者,进行眼底、B超、CT检查,确诊为脉络膜骨瘤,均未行眼球摘除术,挽救了患者眼球。结论:脉络膜骨瘤临床上易误诊为脉络膜恶性黑色素瘤,但通过眼底、B超、CT检查,综合分析是可以鉴别的。

AIM： To explore the main points of identifying choroidal osteoma and malignant melanoma so as to prevent misdiagnosis. METHODS： Seven cases of choroidal osteoma misdiagnosed as malignant melanoma of the choroids were retrospectively analyzed through eyeground examination, B scan ultrasound and CT examination. RESULTS： With eyeground examination, B scan ultyasound and CT examination, the 7 patients firstly diagnosed as malignant melanoma of the choroids were finally diagnosed as choroidal osteoma, and they all did not undergo operation of the globe extraction and their eyeballs were saved. CONCLUSION： Clinically choroidal osteoma is not easy to be distinguished from the malignant melanoma of the choroid, but through eyeground examination, B scan ultyasound, CT examination and comprehensive analysis, it can be identified.