experience on the diagnosis and treatment of retinal tumors（视网膜肿瘤的诊断和治疗经验）.docVIP

Experience on the diagnosis and treatment of retinal tumors [Keywords:] Retinal Cancer Diagnosis and Therapy A retinoblastoma [Overview] Retinoblastoma is the retina during the development of retinoblastoma in the immature retina caused by primary malignant tumors. Occur in infants and children 6 years of age, through the optic nerve to the brain metastasis, or violation of the choroid, sclera to orbital transfer. deposit retinoblastoma patients, unilateral disease about 60% to 70%, eye disease about 30% to 40%. Without treatment in 2 to 4 years died. [Clinical] 1 small can of asymptomatic tumor, the tumor increased with decreased visual acuity, or even lost. At this point the pupil to open a large, visible tumors yellow reflection, showing leukocoria. 2 ophthalmoscope visible white tumor nodules, white calcium deposits, there are serious exudative retinal detachment. Spread to the vitreous cavity can be seen in the spread of turbid vitreous material. Spread in anterior chamber , can form a pseudo-hypopyon. 3.B-show the existence of tumor-induced calcium deposit and highly reflective acoustic shadow. 4.CT scan is a good indication of the existence of material of intraocular calcification deposit in order to distinguish with Coats disease. Early lesions can be small or if no calcification or small show calcification. 5.MRI for intracranial metastases and a violation of the optic nerve can be better than CT scan. [Diagnosis] 1 children with leukocoria. 2 ophthalmoscope to see the white nodules and calcium deposits, exudative retinal detachment. 3.B shows tumor within the ultra-high reflected wave, CT showed the presence of calcium plaque within the tumor. [Treatment programs and principles] 1 small viable tumors or hot condensate treatment, laser photocoagulation. Slightly larger tumors can be localized radiation therapy applicator Most patients have to line the eye enucleation. (2) the optic nerve or th