非洲裔美国人的卵巢黑色素瘤:诊断挑战
Yağmur Seda Yeşiltaş1, Zackery Oakey1, Jacquelyn Wrenn1
1Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland, OH, USA.
Survey of ophthalmology
|July 5, 2023
概括
卵巢黑色素瘤 (UM) 在非洲裔美国人中很少见,往往导致诊断延迟. 这一病例系列突出了这种人群中阴道黑色素瘤的独特临床特征和诊断障碍.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
背景情况:
- 卵巢黑色素瘤 (UM) 是最常见的初级眼内恶性瘤.
- 在非洲血统的人群中,UM异常罕见.
- 非洲裔美国人中UM的延迟诊断可能源于其罕见性和非典型的表现.
研究的目的:
- 在非洲裔美国人队列中描述阴道黑色素瘤的临床和诊断特征.
- 突出在这个代表性不足的人群中诊断UM的挑战.
- 强调需要提高认识和量身定制的诊断方法.
主要方法:
- 12名被诊断患有UM的非裔美国患者的回顾性病例系列.
- 对临床表现,诊断成像 (超声波) 和组织病理学发现的审查.
- 分析诊断延迟和导致因素.
主要成果:
- 在某些情况下,UM呈现出不典型的临床和超声波特征,可能与眼睛色素有关.
- 诊断细针吸收活检在几个情况下对于确诊至关重要.
- 导致诊断延迟的因素包括罕见性,非典型症状和社会经济影响.
结论:
- 非洲裔美国人的UM提出了独特的诊断挑战,需要高度的临床怀疑.
- 眼睛色素可能会改变典型的UM呈现,需要先进的诊断工具.
- 需要进一步的研究和宣传举措,以改善早期检测和改善非裔美国人UM的结果.
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