PDF(Pubmed)
Abstract：
Purpose: To present a case with signs suggestive of a retinal vasoproliferative tumor. Methods: A case report was evaluated and a surgical video presented. Results: A 61-year-old White man presented with an amelanotic retinal tumor associated with exudation, retinal edema, and overlying telangiectatic vessels, suggestive of a retinal vasoproliferative tumor. Standardized echography showed an irregular mass with medium-to-high internal reflectivity and internal calcification, which suggested chronicity. He was initially treated for an exudative retinal detachment (RD) in the context of a presumed vasoproliferative tumor but later developed combined exudative and rhegmatogenous RD, prompting surgical repair with tumor endoresection. Pathology showed nonpigmented adenoma of the retinal pigment epithelium (RPE). Conclusions: Nonpigmented adenoma of the RPE is a rare tumor, and its clinical similarity to a vasoproliferative tumor should be noted. Endoresection may be considered in cases resulting in RD.
摘要：
目的：介绍一例有提示视网膜血管增生性肿瘤的病例。方法：评估病例报告并提供手术视频。结果：一名61岁的白人男性出现了与渗出相关的无色素性视网膜肿瘤，视网膜水肿,和上面的毛细血管扩张血管，提示视网膜血管增生性肿瘤。标准化回波描记术显示不规则肿块，具有中高内反射率和内部钙化，这表明了慢性病。他最初在假定的血管增生性肿瘤的情况下接受了渗出性视网膜脱离（RD）的治疗，但后来发展为渗出性和流源性RD。提示手术修复与肿瘤切除。病理显示视网膜色素上皮（RPE）的非色素性腺瘤。结论：RPE的非色素性腺瘤是一种罕见的肿瘤，应注意其与血管增殖性肿瘤的临床相似性。在导致RD的情况下，可以考虑进行内切除。
