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題名 | Orbital Lymphoblastoma--A Case Report=眼眶的淋巴母細胞瘤--案例報告 |
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作者 | 鄭漢春; 張義昇; 陳建旭; 靳應臺; Cheng, Hon-chun; Chang, Yi-sheng; Chen, Jiann-shiuh; Jin, Ying-tai; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19990600 |
卷期 | 38:2 1999.06[民88.06] |
頁次 | 頁273-278 |
分類號 | 416.749 |
語文 | eng |
關鍵詞 | 眼眶; 淋巴母細胞瘤; Orbital lymphoblastoma; Acute lymphoblastic leukemia; Fine needle aspiration; Relapse; |
中文摘要 | 我們報告一位十歲男孩主訴一個月來有眼進展性眼球凸出和迅速視力喪失,電 腦斷層和核磁共振顯現一個4╳3╳3立方公分的眼球後方腫瘤,眼窩細針穿刺確認急性淋 巴性白血病復發。化學治療TPOG 911 HR之後,眼部症狀迅速消退,但是視神經萎縮和全 盲已經發生。本篇個案,急性淋巴性白血病復發是以眼窩淋巴母細胞瘤為最初表徵,其視 力預後不良。定期作眼睛檢查,以及早對腫瘤侵犯眼部的發現與治療,才能預防此類病患 視力的喪失。 |
英文摘要 | We reported a 7-year-old boy with the complaints of progressive proptosis and rapid visual loss in his right eye for 1 month. CT and MRI showed a 4x3x3 CM□ retrobulbar tumor. Orbital fine needle aspiration confirmed ALL relapse. Chemotherapy TPOG 911 HR was used, and his ocular symptoms and signs regressed dramatically. However, optic atrophy and total blindness in the right eye had already occurred. Orbital lymphoblastoma was the initial manifestation of ALL relapse in this case and carried a poor visual prognosis. Periodic ocular examinations, early ecognition and treatment of feukemic infiltration in the eye and orbit can prevent visual loss. |
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