Shields Jerry A, Perez Noel, Shields Carol L, Foxman Scott, Foxman Brett
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Ophthalmic Surg Lasers. 2002 Jul-Aug;33(4):323-5.
A previously healthy 75-year-old woman developed blurred vision in her left eye and was found to have an amelanotic choroidal metastasis. Cranial magnetic resonance imaging disclosed 2 brain lesions compatible with metastasis. Subsequent evaluation revealed a primary cancer in the lung. Simultaneous metastasis to the choroid and the brain from an occult primary lung cancer is rare. This case underscores the need for a detailed systemic evaluation in a patient with an amelanotic choroidal mass in which a metastasis is a diagnostic consideration.
一名既往健康的75岁女性出现左眼视力模糊，检查发现有一无色素性脉络膜转移瘤。头颅磁共振成像显示有2个符合转移瘤表现的脑病灶。后续评估发现原发性肺癌。隐匿性原发性肺癌同时转移至脉络膜和脑的情况罕见。该病例强调，对于诊断考虑为转移瘤的无色素性脉络膜肿物患者，需要进行详细的全身评估。
