Cardiothoracic Surgery Department, Theagenio Cancer Hospital, Al Symeonidi 2, Thessaloniki, Greece.
World J Surg Oncol. 2010 Jan 8;8:2. doi: 10.1186/1477-7819-8-2.
Reduction in visual acuity combined with blurred vision is rarely the first sign of lung cancer and very few cases have been announced globally.
A case of a 46-year-old man who admitted with blurred vision is presented. His medical history, apart from a mild gastritis under treatment was negative. Ocular examination revealed a decrease in visual acuity due to a choroidal tumor. Further image body scans demonstrated a right lung lesion with dissemination to other organs. Diagnosis of a non-small cell lung cancer established after a VATS biopsy carried out.
Blurred vision due to choroidal metastasis as the primary symptom of lung cancer is very uncommon. A great index of suspicion is essential when a choroidal lesion appears.
视力下降合并视物模糊很少是肺癌的首发症状，全球范围内报道的病例也很少。
患者为 46 岁男性，因视物模糊就诊。除正在治疗的轻度胃炎外，无其他病史。眼部检查显示脉络膜肿瘤导致视力下降。进一步的全身影像学检查显示右肺病变并向其他器官转移。在进行 VATS 活检后诊断为非小细胞肺癌。
脉络膜转移作为肺癌首发症状导致视物模糊非常罕见。当出现脉络膜病变时，需要高度怀疑。
