원발성 포도막흑색종의 진단을 위한 영상의학적 검사

• 영문명: Imaging Techniques for the Diagnosis of Primary Uveal Melanoma
• 발행기관: 대한안과학회
• 저자명: 배정훈 송원경 변석호 이성철,Jeong Hun Bae, M.D., Won Kyung Song, M.D., Suk Ho Byeon, M.D., Sung Chul Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number9, 1461~1467쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.09.15

영문 초록

Purpose: To investigate various imaging techniques for the diagnosis of primary uveal melanomas in Korean patients. Methods: We retrospectively reviewed the medical records of 35 eyes in 35 patients (22 males, 13 females) diagnosed with uveal melanomas between September 2004 and December 2006. The findings of fundus photographs, ultrasonography, CT scan, MRI, and PET scan were documented. Results: A/B scan ultrasonography showed typical findings of uveal melanomas in 74.3% (26 eyes) of the patients. On CT scan, the mass appeared as a homogenous hyperdense lesion, and on MRI, the typical signal of hyperintensity on the T1-weighted image and hypointensity on the T2-weighted image was seen in 89.3% (25 eyes), with contrast enhancement in only 46.4% (13 eyes) of the patients. A PET scan revealed positive tumor uptake in 22.7% (5 eyes) of the patients. Conclusions: Although ultrasonography is the most useful and accurate method for the diagnosis of uveal melanoma, it provides more atypical cases in Korean patients than Caucasian patients. CT scans and MRI can be used for a differential diagnosis, but the diagnostic efficacy of PET scans is low. J Korean Ophthalmol Soc 2008;49(9):1461-1467

키워드

Computed tomography, Magnetic resonance imaging, Positron emission tomography, Ultrasonography, Uveal melanoma