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视乳头色素性肿瘤的发生率低,在其良性或恶性的鉴别诊断方面,有用的检查法不多,因此对其诊断或治疗方法的选择常常带来显著的困难。作者报告了两例视乳头黑色素细胞瘤,并加以讨论。第一例36岁男性,眼底检查可见包括视乳头在内约大10个视乳头直径的黑色素肿瘤,有视力障碍及视野缺损根据临床经过和各种检查结果,疑为恶性黑色素瘤而摘出眼球,但病理组织检查诊断为良性视乳头黑色素细胞瘤;第二例43岁男性,体检发现视乳头黑色素细胞瘤,占视乳头大小的1/2,无进行倾向而进行长期的临床观
The incidence of papilloma is low and there are not many useful tests for the differential diagnosis of benign or malignant tumors. Therefore, the choice of diagnostic or therapeutic methods often presents significant difficulties. The authors report two cases of papillary melanocytoma and discuss them. The first case of 36-year-old man, the fundus examination revealed that the optic nerve, including about 10 large papilloma of the optic nerve diameter, visual impairment and visual field defects based on clinical and various examination results, suspected malignant melanoma and the removal of the eye, But the pathological examination diagnosed as benign papillary melanocytoma; the second case of 43-year-old man, physical examination found papilledema, accounting for 1/2 of the size of the optic nerve, no tendency to carry out long-term clinical observations