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Les „sarcomes” de la choroïde leur aspect — Leur nature — Leur origine

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Abstract

Depuis plusieurs années, F. P. Fischer suivait avec intérétnos recherches sur les tumeurs malignes de la choroide. Lors deson dernier passage à Strasbourg, au printemps 1949, nous avionspu lui annoncer que les expériences en cours semblaient donner lesrésultats escomptés et qu'une étude de la question allait bientÔt luiê envoyée pours ses Documenta.

Le travail est terminé, mais Fischer n'est plus parmi nous.

C'est au volume consacré à son souvenir que nous destinonsnotre mémoire comme témoignage de notre profonde admiration etde notre fidèle attachement.

Summary

Following a description of the typical findings in choroidal tumours, a classification is suggested, which differs somewhat from that used currently by American writers. The classification proposed is probably more exact histologically and, when combined with study of the pigment and reticulin factors, more helpful in assessing prognosis.

The typical forms of uveal growths may be compared to melano-epitheliomas and melanosarcomas of the skin, meningoblastomas and neurinomas. In spite of somewhat different appearances all these tumours belong to the same group.

The following facts confirm the unity of the different types of choroidal tumours: a) the association in the same patient of an acoustic neurinoma and a choroidal melanoepithelioma; b) the association of a spindle cell primary tumour and a round cell metastasis; c) the great number of mixed forms recorded in all statistics; and d) the characteristic transitional forms between epithelial and spindle cells, syncytium and finally cells of the nerve sheath of Schwann observed in the deeper layers of the melanoma. These tumours, except the atypical neuroepitheliomas and glioblastomas, reproduce exactly the cell types found in the dermic portion of the mole.

Despite recent English work it can be proved that at least the dermic portions of the moles are Schwannian in nature.

Origin in the retina or in a retinal heterotopia must be accepted for the atypical neuroepithaliomatous and glioblastomatous forms. All the other choroidal growths come from the branched pigmented cells which acquire at the beginning of their proliferation the characteristics of true melanoblasts. These are shown to be nerve cells which originate in the neural crest and migrate to the uvea during early embryonic life. It is quite unwarranted to designate choroidal tumours as sarcomas.

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Authors and Affiliations

  1. Strasbourg, France

    Jean Nordmann & Alfred Brini

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  1. Jean Nordmann
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  2. Alfred Brini
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Clinique Ophtalmologique de la Faculté de Médecine.

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Nordmann, J., Brini, A. Les „sarcomes” de la choroïde leur aspect — Leur nature — Leur origine. Doc Ophthalmol 5, 205–277 (1951). https://doi.org/10.1007/BF00143663

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