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[睾丸原发部位的脉络膜转移:病例报告]

[Choroid metastasis of testicular primary site: case report].

作者信息

Piccinin Marcos Rogério Mistro, Almeida João Augusto de, Aydos Ricardo Dutra, Nogueira Daniel Cruz, Silva Reinaldo Ferreira da

机构信息

Serviço de Oftalmologia, Hospital São Julião, Rua 15 de Novembro 574, Campo Grande, MS, CEP 70002-140, Brazil.

出版信息

Arq Bras Oftalmol. 2006 Nov-Dec;69(6):949-53. doi: 10.1590/s0004-27492006000600030.

Abstract

Description of a male patient case, 22 years old, presenting visual acuity decrease in the left eye associated with the diagnosis of metastatic testicular tumor to lung and kidney. Evaluation of the evolution of a choroid lesion compatible with ocular metastasis of testis tumor through ophthalmologic and echographic examinations. There was resolution of the intraocular lesion together with lung radiologic improvement after chemotherapy during approximately 4 months of follow-up. In spite of the remission of the ocular lesion, the patient died due to complications of cerebral metastasis. Approached in the literature as rare, no report was found of a case of choroidal metastasis of a testicular site, this being, perhaps, its first description.

摘要

一名22岁男性患者病例描述,该患者左眼视力下降,诊断为睾丸肿瘤转移至肺和肾。通过眼科和超声检查评估与睾丸肿瘤眼转移相符的脉络膜病变的演变情况。在大约4个月的随访期间,化疗后眼内病变消退,肺部影像学也有所改善。尽管眼部病变缓解,但患者因脑转移并发症死亡。文献中认为此类情况罕见,未发现睾丸部位脉络膜转移病例的报道,这或许是对此类病例的首次描述。

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