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Retinopathy associated with adjuvant high-dose interferon-α2b in a patient with resected melanoma: a case report and review of the literature.辅助大剂量干扰素-α2b 治疗切除后黑色素瘤相关视网膜病变:病例报告及文献复习。
Oncologist. 2012;17(3):384-7. doi: 10.1634/theoncologist.2011-0324. Epub 2012 Feb 14.
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Helping melanoma patients decide whether to choose adjuvant high-dose interferon-alpha2b.帮助黑色素瘤患者决定是否选择辅助性高剂量干扰素α-2b。
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[Bilateral retinal microangiopathy in interferon therapy of malignant melanoma of the skin].[皮肤恶性黑色素瘤干扰素治疗中的双侧视网膜微血管病变]
Klin Monbl Augenheilkd. 2000 Nov;217(5):308-11. doi: 10.1055/s-2000-10374.
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Concurrent adjuvant radiotherapy and interferon-alpha2b for resected high risk stage III melanoma -- a retrospective single centre study.同步辅助放疗联合干扰素-α2b治疗可切除的高危III期黑色素瘤——一项回顾性单中心研究
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Ocular side effects of antirheumatic medications: a qualitative review.抗风湿药物的眼部副作用:一项定性综述
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本文引用的文献

1
Melanoma associated retinopathy and how to understand the electroretinogram.黑色素瘤相关性视网膜病变以及如何解读视网膜电图
Pract Neurol. 2011 Aug;11(4):234-9. doi: 10.1136/practneurol-2011-000061.
2
Interferon alpha adjuvant therapy in patients with high-risk melanoma: a systematic review and meta-analysis.干扰素 α 辅助治疗高危黑色素瘤患者:系统评价和荟萃分析。
J Natl Cancer Inst. 2010 Apr 7;102(7):493-501. doi: 10.1093/jnci/djq009. Epub 2010 Feb 23.
3
Syndromes and complications of interferon therapy.干扰素治疗的综合征及并发症
Curr Opin Rheumatol. 2007 Jan;19(1):61-6. doi: 10.1097/BOR.0b013e328010c547.
4
Unusual aspects of melanoma. Case 3. Melanoma-associated retinopathy presenting with night blindness.黑色素瘤的不寻常表现。病例3。伴有夜盲症的黑色素瘤相关性视网膜病变。
J Clin Oncol. 2004 Feb 15;22(4):746-8. doi: 10.1200/JCO.2004.05.036.
5
Comment on "Perhaps not everyone knows that...", (Ann Oncol 2001; 12: 1186).
Ann Oncol. 2002 Apr;13(4):637. doi: 10.1093/annonc/mdf147.
6
Retinopathy associated with high-dose interferon alfa-2b therapy.与高剂量干扰素α-2b治疗相关的视网膜病变
Am J Ophthalmol. 2001 Jun;131(6):782-7. doi: 10.1016/s0002-9394(01)00836-4.
7
Paroxetine for the prevention of depression induced by high-dose interferon alfa.帕罗西汀预防高剂量干扰素α所致抑郁症
N Engl J Med. 2001 Mar 29;344(13):961-6. doi: 10.1056/NEJM200103293441303.
8
Severe loss of vision during adjuvant interferon alfa-2b treatment for malignant melanoma.恶性黑色素瘤辅助性干扰素α-2b治疗期间严重视力丧失。
Lancet. 1999 Apr 17;353(9161):1326. doi: 10.1016/S0140-6736(99)00403-1.
9
Interferon associated retinopathy.干扰素相关性视网膜病变
Br J Ophthalmol. 1998 Mar;82(3):323-5. doi: 10.1136/bjo.82.3.323.
10
Side effects of high-dose interferon therapy for chronic hepatitis C.
J Hepatol. 1996 Sep;25(3):283-91. doi: 10.1016/s0168-8278(96)80113-9.

辅助大剂量干扰素-α2b 治疗切除后黑色素瘤相关视网膜病变:病例报告及文献复习。

Retinopathy associated with adjuvant high-dose interferon-α2b in a patient with resected melanoma: a case report and review of the literature.

机构信息

NCIC Clinical Trials Group, Cancer Research Institute, Queen's University, 10 Stuart Street, Kingston, Ontario K7L 3N6, Canada.

出版信息

Oncologist. 2012;17(3):384-7. doi: 10.1634/theoncologist.2011-0324. Epub 2012 Feb 14.

DOI:10.1634/theoncologist.2011-0324
PMID:22334452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3316924/
Abstract

Interferon is the only accepted adjuvant treatment for patients with melanoma; hence, oncologists should be aware of the possibility of retinal abnormalities resulting from its use. Interferon-associated retinopathy in patients being treated for resected melanoma is a rare phenomenon with a proposed immunological basis. Patients are usually asymptomatic or have mild visual impairments, with cotton wool infarcts and hemorrhages. These symptoms and signs usually resolve with the discontinuation of interferon, but in a few severe presentations the visual impairments and retinal changes can be irreversible.

摘要

干扰素是治疗黑色素瘤患者唯一被认可的辅助治疗药物;因此,肿瘤学家应该意识到其使用可能导致视网膜异常。接受切除黑色素瘤治疗的患者发生干扰素相关性视网膜病变是一种罕见现象,其发病机制可能与免疫有关。患者通常无明显症状或仅有轻微视力障碍,表现为棉絮状梗塞和出血。这些症状和体征通常在停止使用干扰素后会缓解,但在少数严重的情况下,视力障碍和视网膜变化可能是不可逆的。