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題 名 | Bilateral Choroidal Metastases as the Initial Presentation of a Small Breast Carcinoma: A Case Report=以類似原發眼脈絡膜腫瘤表現之細小乳癌:一病例報告 |
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作 者 | 陳怡如; 林增熙; 張淑美; 陳薰文; 楊陽生; 何開程; 楊吉雄; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:2 1998.02[民87.02] |
頁 次 | 頁99-103 |
分類號 | 416.226 |
關鍵詞 | 脈絡膜轉移; 隱密性乳癌; Choroidal metastasis; Occult breast carcinoma; |
語 文 | 英文(English) |
中文摘要 | 此病例為一位四十歲女性,以兩眼視力模糊為主訴後被診斷為細小乳癌併兩眼轉移。絕大多數之眼部腫瘤來自其他惡性腫瘤之轉移,其中以肺癌最常見;而女性患者則以乳癌為首。此患者無惡性腫瘤之病史,而以前後不到一個月時間兩眼視力模糊,漸至全盲為主要症狀;外院初次診斷為右眼脈絡膜惡性黑色素瘤,並將右眼摘除。但病人之腫瘤接著迅速出現在左眼、肺、中樞神經及多處骨轉移,而無確切肝臟轉移之證據。此與一般文獻報告之脈絡膜黑色素瘤的臨床表現以肝臟轉移為先不符。此病人幾乎同時發生兩眼腫瘤,且其高血鈣症及腫瘤指標上升,使我們強烈懷疑是其它惡性腫瘤發生之眼轉移。後經詳細理學檢查,終於發現一約為一公分、細小之左側乳房腫塊,並經病理切片證實為侵犯性腺癌。組織學染色檢查,發現與原來眼腫瘤為同一種細胞型態。兩眼同時轉移之乳癌並不少見,但以眼部症狀為主要表現者僅佔少數。故詳細之理學檢查及病史詢問,有助於正確之鑑別診斷,可免除病人接受不必要之手術治療而延誤病情。 |
英文摘要 | Most ocular tumors metastasize from systemic origins in breast carcinoma in females, and bronchial carcinoma in males. Here, we report a case of choroidal carcinoma metastasis from the breast with visual problems being the only initial manifestations. In this case, both eyes were involved at almost the same time, with initial manifestation of blurred vision which progressed to complete visual loss. At first, the patient was diagnosed with malignant melanoma, and enucleation of the right eye was performed in another hospital. However, the tumor had already metastasized rapidly to numerous organs, including the lungs, brain and bone, although it had not affected the liver. Clinical presentations were, therefore, not compatible with those of malignant melanoma, which has usually been reported to metastasize to the liver. Persistent hypercalcemia and raised carcinoembryonic antigen(CEA) concentrations prompted investigations into the possibility of systemic malignancy. A very small breast nodule was finally located by thorough physical examination, and a lumpectomy was performed. A detailed review of the histopathology showed the tumors from the breast and the right eye to have the same origin. Simultaneous bilateral choroidal metastases from other malignancies is not uncommon; however, it is quite rare for breast carcinoma to present with visual problems as a first manifetation. Detailed history taking and physical examination are therefore essential when searching for a primary tumor, so that appropriate therapy can be given earlier. |
本系統中英文摘要資訊取自各篇刊載內容。