Finger Paul T, Marin Jorge Prado, Berson Anthony M, Kedhar Sanjay, McCormick Steven A
New York Eye Cancer Center, New York, New York 10021, USA.
Am J Ophthalmol. 2003 Feb;135(2):239-41. doi: 10.1016/s0002-9394(02)01921-9.
We report a case of a choroidal metastasis from an adenoid cystic carcinoma of the lung. Interventional case report.
A 40-year old man, 9 months' status postresection of a bronchial adenoid cystic carcinoma, was diagnosed by clinical evaluation and fine-needle aspiration biopsy and treated with palladium-103 ophthalmic plaque brachytherapy.
This unusual patient with uveal metastasis from adenoid cystic carcinoma presented with decreased vision in the right eye and a diaphanous amelanotic choroidal tumor in the superotemporal macula. Ultrasound revealed a dome-shaped tumor that measured 4.0 mm in apical height and 11 x 10 mm in basal diameter. Fluorescein angiography revealed a double circulation and late intense subretinal fluorescence. Plaque brachytherapy provided local control and preservation of the eye.
Bronchogenic adenoid cystic carcinoma can metastasize to the choroid.
我们报告一例肺腺样囊性癌脉络膜转移病例。介入病例报告。
一名40岁男性，支气管腺样囊性癌切除术后9个月，经临床评估和细针穿刺活检确诊，并接受了钯-103眼贴近距离放射治疗。
这名患有腺样囊性癌葡萄膜转移的特殊患者右眼视力下降，颞上黄斑区有一透明无色素脉络膜肿瘤。超声显示为圆顶形肿瘤，顶端高度4.0毫米，底部直径11×10毫米。荧光素血管造影显示双循环及晚期强烈的视网膜下荧光。眼贴近距离放射治疗实现了局部控制并保住了眼球。
支气管源性腺样囊性癌可转移至脉络膜。
