Gosslee Jeffrey M, Misra Raghunath P, Langford Marlyn P, Vekovius Bryan, Byrd William A, Flynn Steven B
Department of Ophthalmology, Louisiana State University Health Sciences Center, Shreveport, LA 71103-3932, USA.
Int Ophthalmol. 2009 Feb;29(1):39-44. doi: 10.1007/s10792-007-9162-6. Epub 2007 Nov 2.
A case of orbital metastasis of cervical keratinizing squamous cell carcinoma is presented. The patient, in remission from primary cervical and ovarian cancers, presented with complaints of left eye ptosis and pain. Examination revealed the presence of a moderately tender mass along the left supra-temporal orbital rim and downward displacement of the left globe. Computed tomography revealed a poorly circumscribed mass with superior lateral wall bone loss. Excised tissue contained invasive, poorly differentiated nests of pan keratin and epithelial membrane antigen-positive squamous cells with numerous pleomorphic multinucleated giant cells. Multiple treatment regimes were unsuccessful, and the patient expired due to disease complications after 3 months.
本文报告一例宫颈角化性鳞状细胞癌眼眶转移病例。该患者原发性宫颈癌和卵巢癌已缓解,出现左眼上睑下垂和疼痛症状。检查发现左颞上眶缘有一中等压痛肿块,左眼眼球向下移位。计算机断层扫描显示一个边界不清的肿块,外侧壁骨质缺损。切除组织中含有浸润性、低分化的全角蛋白和上皮膜抗原阳性鳞状细胞巢,并伴有大量多形性多核巨细胞。多种治疗方案均未成功,患者在3个月后因疾病并发症死亡。