综述
ENGLISH ABSTRACT
视网膜血管增生性肿瘤的诊疗进展
孙功鹏
陈长征 [综述]
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20200712-00488
Progress in diagnosis and treatment of retinal vasoproliferative tumor
Sun Gongpeng
Chen Changzheng
Authors Info & Affiliations
Sun Gongpeng
Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, China
Chen Changzheng
Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, China
·
DOI: 10.3760/cma.j.cn115989-20200712-00488
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摘要

视网膜血管增生性肿瘤(RVPT)是一种不明原因、较为罕见的良性胶质细胞增生性肿瘤。眼底典型表现为颞下方周边视网膜黄色或粉红色肿瘤样病灶,常伴有视网膜下液、渗出、视网膜前膜等并发症。典型RVPT在荧光素眼底血管造影上表现为高荧光,静脉期和晚期表现为弥散性渗漏。眼部B型超声显示病灶呈不均匀中反射或高反射信号。不典型RVPT需与von Hippel-Lindau综合征所致的视网膜毛细血管瘤、Coats病、家族性渗出性玻璃体视网膜病变等相鉴别。RVPT的发病机制不明,组织病理学显示可能为胶质细胞的反应性增生。RVPT目前尚无统一治疗方案,主要针对瘤体进行冷冻、激光光凝、局部放射治疗、经瞳孔温热疗法或光动力疗法等,并发玻璃体积血视网膜及牵拉性视网膜脱离者可行玻璃体视网膜手术。本文就RVPT的临床特征、诊断与鉴别诊断、病理与发病机制以及治疗进展进行综述。

视网膜肿瘤;视网膜血管增生性肿瘤;诊断;治疗;临床表现
ABSTRACT

Retinal vasoproliferative tumor (RVPT) is a rare benign glial proliferative tumor of unknown origin.The fundus is typically characterized by yellow or pink tumor-like lesions of the retina around the inferior temporal region, often accompanied by subretinal fluid, exudation, epiretinal membrane and other complications.Typical RVPT showed high fluorescence on fundus fluorescein angiography, diffuse leakage in venous phase and late stage, uneven middle or high reflection signal on B-ultrasound, and it was not difficult to diagnose combined with fundus changes.Atypical RVPT should be differentiated from retinal capillary hemangioma caused by von Hippel-Lindau disease, Coats disease and familial exudative vitreoretinopathy.The pathogenesis of RVPT is unclear, but histopathology shows that it may be the reactive proliferation of glial cells.At present, there is no unified treatment plan for RVPT, mainly cryotherapy, laser photocoagulation, local radiotherapy, transpupillary thermal therapy or photodynamic therapy for tumor.For patients with vitreous hemorrhage, vitreoretinal surgery is feasible.This article reviewed the clinical features, diagnosis and differential diagnosis, pathology and pathogenesis, and treatment progress of RVPT.

Retinal neoplasms;Retinal vasoproliferative tumor;Diagnosis;Treatment;Clinical manifestation
Chen Changzheng, Email: mocdef.3ab61hzhcnehcuhw
引用本文

孙功鹏,陈长征. 视网膜血管增生性肿瘤的诊疗进展[J]. 中华实验眼科杂志,2023,41(07):693-696.

DOI:10.3760/cma.j.cn115989-20200712-00488

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视网膜血管增生性肿瘤(retinal vasoproliferative tumors,RVPT)是一种原因不明、较为罕见的良性胶质细胞增生性肿瘤,近年来又被称为视网膜反应性星形细胞瘤[ 1 ]。RVPT的主要临床特征为颞下方周边视网膜出现黄色或橙红色肿瘤,常伴发视网膜下液、渗出、视网膜前膜、黄斑水肿等并发症而导致视力丢失[ 2 ]。由于RVPT较为罕见,好发于周边视网膜而易被忽视。本文就RVPT的临床特征、诊断与鉴别诊断、病理与发病机制以及治疗作一综述,以加深临床医生对该病的认识。
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参考文献
[1]
Poole Perry LJ Jakobiec FA Zakka FR et al. Reactive retinal astrocytic tumors (so-called vasoproliferative tumors)∶histopathologic,immunohistochemical,and genetic studies of four cases[J]Am J Ophthalmol 2013155(3)∶593608. DOI: 10.1016/j.ajo.2012.09.002 .
返回引文位置Google Scholar
百度学术
万方数据
[2]
Shields CL Kaliki S Al-Dahmash S et al. Retinal vasoproliferative tumors:comparative clinical features of primary vs secondary tumors in 334 cases[J]JAMA Ophthalmol 2013131(3)∶328334. DOI: 10.1001/2013.jamaophthalmol.524 .
返回引文位置Google Scholar
百度学术
万方数据
[3]
Shields CL Shields JA Barrett J et al. Vasoproliferative tumors of the ocular fundus.Classification and clinical manifestations in 103 patients[J]Arch Ophthalmol 1995113(5)∶615623. DOI: 10.1001/archopht.1995.01100050083035 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
Pichi F Neri P Agarwal A et al. Vasoproliferative tumors in intermediate uveitis[J]Retina 202040(9)∶17651773. DOI: 10.1097/IAE.0000000000002656 .
返回引文位置Google Scholar
百度学术
万方数据
[5]
Walinjkar JA Sharma US Rishi P et al. Clinical features and treatment outcomes of vasoproliferative tumors in Indian participants[J]Indian J Ophthalmol 201866(2)∶246251. DOI: 10.4103/ijo.IJO_210_17 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Cernichiaro-Espinosa LA Williams BK Jr Martínez-Castellanos MA et al. Peripheral vascular abnormalities seen by ultra-widefield fluorescein angiography in adults with history of prematurity:report of three cases[J]Ophthalmic Surg Lasers Imaging Retina 201849(4)∶278283. DOI: 10.3928/23258160-20180329-13 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Lando L P Cialdini A P Avila M Retinal vasoproliferative tumor in congenital ocular toxoplasmosis[J/OL]Ophthalmol Retina 20193(10)∶910[2022-10-10]http://www.ncbi.nlm.nih.gov/pubmed/31585713. DOI: 10.1016/j.oret.2019.05.011 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
Wang Q Day S Nixon PA et al. Combined rhegmatogenous and traction detachment associated with vasoproliferative tumor secondary to sickle cell retinopathy[J]Am J Ophthalmol Case Rep 2016446. DOI: 10.1016/j.ajoc.2016.06.011 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Shields JA Pellegrini M Kaliki S et al. Retinal vasoproliferative tumors in 6 patients with neurofibromatosis type 1[J]JAMA Ophthalmol 2014132(2)∶190196. DOI: 10.1001/jamaophthalmol.2013.6281 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Marcelo-Tan MC Parsons HM . Retinal vasoproliferative tumour in an adolescent who had medulloblastoma:a case report[J/OL]Can J Ophthalmol 201550(5)∶e74e78[2022-10-16]http://www.ncbi.nlm.nih.gov/pubmed/26455986. DOI: 10.1016/j.jcjo.2015.05.017 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
Patel NA Laura D Tran KD et al. Retinal vasproliferative tumor in a case of X-linked retinoschisis detachment[J]Am J Ophthalmol Case Rep 201894850. DOI: 10.1016/j.ajoc.2018.01.002 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
Honavar SG . Retinal vasoproliferative tumor-a proposal for classification[J]Indian J Ophthalmol 201866(2)∶185186. DOI: 10.4103/ijo.IJO_128_18 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Heimann H Jmor F Damato B Imaging of retinal and choroidal vascular tumours[J]Eye (Lond) 201327(2)∶208216. DOI: 10.1038/eye.2012.251 .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Matsuura S Ishida T Tobe M et al. Indocyanine green angiographic findings in seven eyes with vasoproliferative retinal tumor[J/OL]Am J Ophthalmol Case Rep 202019100831[2022-10-22]http://www.ncbi.nlm.nih.gov/pubmed/32715159. DOI: 10.1016/j.ajoc.2020.100831 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
张军军张美霞唐健视网膜血管增生性肿瘤的临床特征分析和治疗初探[J]中华眼底病杂志 200622(3)∶177180. DOI: 10.3760/j.issn:1005-1015.2006.03.009 .
返回引文位置Google Scholar
百度学术
万方数据
Zhang JJ Zhang MX Tang J et al. Clinical features and preliminary report of treatment of vasoproliferative tumors of the retina[J]Chin J Ocul Fundus Dis 200622(3)∶177180. DOI: 10.3760/j.issn:1005-1015.2006.03.009 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[16]
Stoffelns BM Laspas P Arad T Clinical features,imaging and treatment of a symptomatic vasoproliferative tumour of the retina (VPTR)[J]Klin Monbl Augenheilkd 2019236(4)∶571574. DOI: 10.1055/a-0857-6455 .
返回引文位置Google Scholar
百度学术
万方数据
[17]
Zheng B Chen Y Chen L et al. Comparative study on the efficacy and safety of tumor resection in vitrectomy for retinal vasoproliferative tumors[J/OL]J Ophthalmol 201920197464123[2022-10-26]http://www.ncbi.nlm.nih.gov/pubmed/30719338. DOI: 10.1155/2019/7464123 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
Hiscott P Mudhar H Is vasoproliferative tumour (reactive retinal glioangiosis) part of the spectrum of proliferative vitreoretinopathy?[J]Eye (Lond) 200923(9)∶18511858. DOI: 10.1038/eye.2008.351 .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Saito W Kase S Fujiya A et al. Expression of vascular endothelial growth factor and intravitreal anti-VEGF therapy with bevacizumab in vasoproliferative retinal tumors[J]Retina 201333(9)∶19591967. DOI: 10.1097/IAE.0b013e3182923490 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
Fujiya A Noda K Yoshida S et al. Increased vascular endothelial growth factor level in the subretinal fluid of eye with vasoproliferative retinal tumors[J]Retin Cases Brief Rep 20159(2)∶154156. DOI: 10.1097/ICB.0000000000000124 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
Garcia-Arumi J Distefano LN Fonollosa A et al. Management of vision-threatening complications of vasoproliferative tumors of the retina[J]Ophthalmic Res 201554(1)∶3440. DOI: 10.1159/000430955 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
李静程湧邓洵视网膜血管增生性肿瘤的治疗分析和探讨[J]中华眼科杂志 202056(4)∶272278. DOI: 10.3760/cma.j.cn112142-20191111-00567 .
返回引文位置Google Scholar
百度学术
万方数据
Li J Cheng Y Deng X et al. Treatment of vasoproliferative tumors of the retina[J]Chinese Journal of Ophthalmology 202056(4)∶272278. DOI: 10.3760/cma.j.cn112142-20191111-00567 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[23]
Manjandavida FP Shields CL Kaliki S et al. Cryotherapy-induced release of epiretinal membrane associated with retinal vasoproliferative tumor:analysis of 16 cases[J]Retina 201434(8)∶16441650. DOI: 10.1097/IAE.0000000000000137 .
返回引文位置Google Scholar
百度学术
万方数据
[24]
Cohen VM Shields CL Demirci H et al. Iodine I 125 plaque radiotherapy for vasoproliferative tumors of the retina in 30 eyes[J]Arch Ophthalmol 2008126(9)∶12451251. DOI: 10.1001/archopht.126.9.1245 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Brockmann C Rehak M Heufelder J et al. Predictors of treatment response of vasoproliferative retinal tumors to ruthenium-106 brachytherapy[J]Retina 201636(12)∶23842390. DOI: 10.1097/IAE.0000000000001095 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Abolfathzadeh N Naseripour M Jaberi R et al. Ru-106 plaque radiotherapy for vasoproliferative tumors of retina:a 15-year single-center experience[J]Int Ophthalmol 202040(8)∶20952102. DOI: 10.1007/s10792-020-01386-5 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Chan RP Lai TY . Photodynamic therapy with verteporfin for vasoproliferative tumour of the retina[J]Acta Ophthalmol 201088(6)∶711712. DOI: 10.1111/j.1755-3768.2008.01447.x .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Hussain RN Jmor F Damato B et al. Verteporfin photodynamic therapy for the treatment of retinal vasoproliferative tumors[J]Ophthalmology 2015122(11)∶23612363. DOI: 10.1016/j.ophtha.2015.05.026 .
返回引文位置Google Scholar
百度学术
万方数据
[29]
Onishi AC Jampol LM Fawzi AA . Optic nerve head reactive retinal astrocytic tumor treated with photodynamic therapy[J/OL]Am J Ophthalmol Case Rep 202019100827[2022-10-28]http://www.ncbi.nlm.nih.gov/pubmed/32715158. DOI: 10.1016/j.ajoc.2020.100827 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Nomura Y Tamaki Y Tsuji H et al. Transpupillary thermotherapy for vasoproliferative retinal tumor[J]Retin Cases Brief Rep 20093(4)∶358360. DOI: 10.1097/ICB.0b013e3181780805
返回引文位置Google Scholar
百度学术
万方数据
[31]
Gibran SK . Trans-vitreal endoresection for vasoproliferative retinal tumours[J]Clin Exp Ophthalmol 200836(8)∶712716. DOI: 10.1111/j.1442-9071.2008.01880.x .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Japiassú RM Brasil OF Cunha AL et al. Regression of vasoproliferative tumor with systemic infliximab[J]Ophthalmic Surg Lasers Imaging 200839(4)∶348349. DOI: 10.3928/15428877-20080701-09 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Kenawy N Groenwald C Damato B Treatment of a vasoproliferative tumour with intravitreal bevacizumab (Avastin)[J]Eye (Lond) 200721(6)∶893894. DOI: 10.1038/sj.eye.6702782 .
返回引文位置Google Scholar
百度学术
万方数据
[34]
Rogers C Damato B Kumar I et al. Intravitreal bevacizumab in the treatment of vasoproliferative retinal tumours[J]Eye (Lond) 201428(8)∶968973. DOI: 10.1038/eye.2014.113 .
返回引文位置Google Scholar
百度学术
万方数据
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