Kurli Madhavi, Finger Paul T, Schneider Susan, Tena Lawrence B
The New York Eye Cancer Center, New York, NY 10021, USA.
Ophthalmologica. 2006;220(3):198-200. doi: 10.1159/000091766.
To describe the use of debulking surgery with adjuvant external beam irradiation as an eyelid-sparing treatment for renal cell carcinoma.
Interventional case report.
A 63-year-old male presented with a right upper lid tumor. He had a history of renal cell carcinoma and pulmonary metastasis treated with surgery and systemic chemotherapy. The eyelid tumor was biopsied, followed by debulking surgery and external beam radiation therapy to treat this metastatic tumor.
Histopathological evaluation of the excised tumor revealed a metastatic renal cell carcinoma, clear cell type. At 4 months' follow-up, he had no evidence of recurrence or radiation oculopathy. He was pleased with his cosmetic result.
Meta static renal cell carcinoma presenting in the eye and orbit can be the initial manifestation of the primary tumor. It is important to include this tumor in the differential diagnosis of recurrent eyelid lesions. Debulking surgery followed by external beam radiation therapy can be used to control the tumor with an eyelid-sparing cosmetic result.
描述减瘤手术联合辅助性外照射作为保留眼睑治疗肾细胞癌的应用。
介入性病例报告。
一名63岁男性出现右上睑肿物。他有肾细胞癌病史且曾接受手术及全身化疗治疗肺转移。对眼睑肿物进行活检，随后行减瘤手术及外照射放疗以治疗该转移性肿瘤。
切除肿瘤的组织病理学评估显示为转移性肾细胞癌，透明细胞型。随访4个月时，无复发或放射性眼病证据。他对美容效果满意。
眼和眼眶出现的转移性肾细胞癌可能是原发性肿瘤的首发表现。将该肿瘤纳入复发性眼睑病变的鉴别诊断很重要。减瘤手术联合外照射放疗可用于控制肿瘤并保留眼睑获得美容效果。
