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題名 | Choroidal Metastasis as the Main Presentation of Lung Adenocarcinoma: A Case Report=以脈絡膜轉移為主要表現之肺腺癌--病例報告 |
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作者 | 許正賢; 何明山; 黃子倫; 蔡榮坤; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 49:3 2010.09[民99.09] |
頁次 | 頁371-376 |
分類號 | 415.468 |
關鍵詞 | 肺腺癌; 脈絡膜轉移; 眼球; Choroidal metastasis; Primary lung adenocarcinoma; |
語文 | 英文(English) |
中文摘要 | 目的:報告一個肺腺癌病患以脈絡膜轉移為主要表現的病例。方法:病例報告。結果:一名六十九歲無特殊病史的女性主訴右眼視力模糊兩個月。最佳矯正視力右眼為眼前可辨指數,左眼為20/20。眼底檢查發現右眼下顳側有一個巨大的脈絡膜腫塊併有滲出性視網膜剝離。超音波顯示高腫瘤內反射。眼球的核磁共振可見此腫塊約5公厘厚。完整的全身檢查顯示診斷為原發性肺腺癌合併骨轉移及脈絡膜轉移。在施行眼球剜除術後病理組織學檢查證實為原發性肺腺癌的脈絡團傳移。結論:我們報告一例以脈絡膜轉移為肺腺癌的初始表現。眼科醫師若懷疑脈絡膜有腫瘤轉移應對全身可能的惡性腫瘤做檢查。因為肺癌的早期發現對治療極為重要。 |
英文摘要 | Purpose: To report a case of choroidal metastasis as the main presentation in a patient with lung carcinoma. Method: Case report. Results: A 69-year-old woman complained of blurred vision in her right eye for 2 months. The best-corrected visual acuity was counting finger in right eye. Fundoscopy demonstrated a large choroidal mass located inferiotemporally associated with exudative retinal detachment in her right eye. B-scan ultrasound revealed the tumor had a high internal reflectivity. Magnetic resonance imaging of the orbit showed an intraocular mass that was approximately 5 mm in thickness. After enucleation, pathologic study of the enucleated eye demonstrated a choroidal metastasis. Complete systemic survey disclosed that a primary lung adeno-carcinoma with bone and choroidal metastasis count for the ocular lesion. Conclusions: Choroidal metastasis can be the first clinical manifestation of lung adenocarcinoma. Ophthalmologists should be aware of systemic malignancy in choroidal metastasis and initiate a thorough systemic evaluation for early detection of life-threatening malignancies. |
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