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回顾分析我院病理证实的９例脉络膜恶性黑色素瘤患者的临床及病理资料。患者平均年龄４２岁。７例眼底可见，其中６例为孤立性肿块，１例视网膜穿破；８例Ｂ超检查发现眼内实质性占位病变；２例眼底荧光血管造影显示瘤体自身异常血管显影及斑驳状荧光；病理分型梭形Ａ细胞型５例，梭形Ｂ细胞型３例，上皮样细胞型１例。眼底荧光血管造影的异常表现可为本病的一种诊断特征，对屈光间质混浊的不明原因青光眼病人，Ｂ超检查有助于减少本病误诊。
The clinical and pathological data of 9 cases of choroidal malignant melanoma confirmed by pathology in our hospital were retrospectively analyzed. The average patient was 42 years old. 7 cases of fundus can be seen, of which 6 cases were isolated lumps, 1 case of retinal perforation; 8 cases of B-ultrasound found substantial intraocular lens lesions; 2 cases of fundus fluorescein angiography showed abnormal tumor imaging and mottled fluorescent ; Pathological type spindle cell type in 5 cases, spindle B cell type in 3 cases, epithelioid cell type in 1 case. Fundus fluorescein angiography of the abnormal performance of this disease can be a diagnostic feature of refractive mesonism in patients with unexplained glaucoma, B-ultrasound can help reduce the misdiagnosis of the disease.