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題 名 | Vitreous Hemorrhage as the Presenting Ocular Feature of Choroid Metastasis from Lung Cancer: A Case Report=以玻璃體出血為表現的肺癌之脈絡膜轉移腫瘤:病例報告 |
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作 者 | 鄭元韶; 沈應誠; 張嘉仁; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 53:1 2014.04[民103.04] |
頁 次 | 頁65-72 |
分類號 | 416.746 |
關鍵詞 | 玻璃體出血; 肺癌; 脈絡膜轉移; Vitreous hemorrhage; Lung cancer; Choroidal metastasis; |
語 文 | 英文(English) |
中文摘要 | 報告一位以玻璃體出血為表現的肺癌之脈絡膜轉移腫瘤病患。方法:病例報告。結果:這位51歲女性患有肺癌並接受1年半的化學治療,因為突發性左眼視力模糊至本院求診。最佳矯正視力為眼前25公分辨手指數。檢查發現左眼上鼻側眼底有一黃色腫瘤合併玻璃體出血。超音波掃描發現為一半圓形突起腫瘤。眼框核磁共振也顯示左眼球內有一高5.2公厘,直徑4.6公厘,橫徑7.5公厘的圓形腫瘤,高度懷疑為肺癌之脈絡膜轉移腫瘤。然而病患拒絕接受放射治療,因此改採玻璃體切除合併玻璃體內注射血管新生抑制劑癌思停。術後病患視力有改善,也提升了病患的滿意度及生活品質。結論:雖然少見,但玻璃體出血仍然可能為肺癌之脈絡膜轉移玻璃體出血之臨床表現。對於不希望接受放射線治療的病人,作玻璃體切除合併玻璃體內注射血管新生抑制劑癌思停是一個能增加病患的生活品質的選擇。 |
英文摘要 | To report a case of choroidal metastasis from lung cancer with vitreous hemorrhage as the presenting ocular feature. Methods: A case report. Result: A 51-year-old female with a history of lung cancer was referred to our hospital because of sudden-onset visual field defect and blurred vision in the left eye experienced for one day. The best corrected visual acuity of her left eye was counting fingers at 25 cm. Ocular examination results were normal except for vitreous hemorrhage and a yellowish elevated mass at the left eye's superonasal quadrant fundus. B-scanning of the left eye demonstrated a dome-surfaced, elevated choroidal lesion with moderated internal reflectivity. Orbital magnetic resonance imaging (MRI) revealed a rounded lesion in the left eyeball that was 5.2 mm in vertical length, 4.6 mm in height and 7.5 mm in horizontal length. Lung cancer with choroidal metastasis was highly suspected. Because the patient refused radiotherapy, a 23-gauge pars plana vitrectomy (PPVT) and intravitreal bevacizumab injection were performed. At follow-up, the best corrected visual acuity (BCVA) had improved and the size of the choroidal mass had regressed. Conclusion: Although it is rare, vitreous hemorrhage can be the presenting ocular feature of choroidal metastasis from lung cancer. For patients with a diagnosis of vitreous hemorrhage from choroidal metastasis who refuse radio-therapy, vitrectomy with intravitreal bevacizumab may be a choice to improve quality of life. |
本系統中英文摘要資訊取自各篇刊載內容。