Bachmeyer C, Frazier A, Meftah A, Cadranel J, Grateau G
Service de médecine interne, CHU de Tenon (APHP), 4, rue de la Chine, 75020 Paris, France.
Rev Med Interne. 2006 Nov;27(11):865-8. doi: 10.1016/j.revmed.2006.07.006. Epub 2006 Aug 8.
Ocular metastases are rare in patients with lung cancer, and exceptionally indicate the condition.
We report 2 patients with symptomatic ocular metastases indicating lung adenocarcinoma, involving the choroid in the first case and the optic disc in the other, associated with other metastases. No improvement of visual acuity was observed after chemotherapy and radiotherapy.
Ocular metastases may indicate lung cancer, and are usually associated with other metastatic sites. The global prognosis is poor but an early treatment should result in improvement of visual prognosis.
肺癌患者发生眼部转移罕见,且极少提示病情。
我们报告2例有症状的眼部转移提示肺腺癌的患者,首例累及脉络膜,另一例累及视盘,均伴有其他转移。化疗和放疗后视力未改善。
眼部转移可能提示肺癌,通常与其他转移部位相关。总体预后较差,但早期治疗应能改善视力预后。