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门诊来了一对夫妇,抱着两岁左右的小女孩。只见这孩子胖呼呼,两只大眼睛水汪汪的。我细细一看,右眼瞳孔散大,有金黄色反光。用裂隙灯显微镜观察,发现右眼玻璃体内有黄白色凹凸不平的肿物。嘱其做了眼部CT,诊断为右眼球内占位病变。我当即告诉他们,孩子得的是视网膜母细胞瘤。这对夫妇愣了一下,急切地问:“啥叫视网膜母细胞瘤?” 视网膜母细胞瘤绝大多数见于3岁以下儿童,偶见于成年人,与家庭遗传有关,有认为染色体第13号长臂缺失所致,占眼肿瘤的首位。临床症状随肿瘤发展时期而不同,习惯上分为眼内期、青光眼期、眼外蔓延
Clinic came a couple, holding two years old little girl. I saw the child fat whirring, two big eyes watery. I take a closer look, pupil dilated right eye, golden reflective. Slit lamp microscope observation found that the right eye vitreous has yellowish white uneven tumor. Instruct them to do the eye CT, the diagnosis of lesions in the right eye ball lesions. I immediately told them that children had retinoblastoma. The couple froze for a moment and asked eagerly, “What is a retinoblastoma?” The vast majority of retinoblastomas are found in children under 3 years old, occasionally in adults, and are related to family genetics. Due to missing arms, accounting for the first eye tumor. Clinical symptoms with different stages of tumor development, used to be divided into intraocular, glaucoma, extraocular