Disclosed is optical observation equipment for identifying the forming process of a malignant tumor, which is provided with a receiving space and a transparent front end. The optical observation equipment comprises: a light-guide fiber, a laser emitter, a focusing device, a white light emitter, an image sensor, a high gain amplifier and an encoding and emitting device, wherein the light-guide fiber extends to the transparent front end from the receiving space; the laser emitter emits laser with a wavelength of 340 nm±20 nm and an energy of 0.3˜0.5 mj/m2 in a pulsing mode; the focusing device is coupled to the output end of the laser emitter and used for focusing the laser to the input end of the light-guide fiber; the white light emitter is used for emitting white light, and the white light is guided into the input end of the light-guide fiber, wherein the laser emitter and the white light emitter are alternately turned on; the image sensor is used for acquiring an image of an area irradiated by light emitted from the output end of the light-guide fiber and converting a light signal into an electric signal; the high gain amplifier is coupled to the image sensor and is used for amplifying the electric signal generated by the image sensor; and the encoding and emitting device is coupled to the high gain amplifier and is used for encoding the signal output by the high gain amplifier and emitting the encoded signal.