Arend N, Decker C, Messmer E M, Kampik A, Hintschich C
Augenklinik der LMU, Klinikum der Universität München, Campus Innenstadt, Mathildenstr. 8, 80336 München.
Ophthalmologe. 2013 Jan;110(1):57-60. doi: 10.1007/s00347-012-2578-z.
We report the case of a 71-year-old male who was first diagnosed with conjunctival squamous cell carcinoma in September 2010. The lesion was excised twice and cryotherapy of the margins was performed. On histology the margins were not tumor-free but this was not followed up by further excision. After 5 months the patient was referred to this department with a growing tumor mass which had infiltrated into the anterior chamber and partly destroyed the iris. Because of this advanced finding extended enucleation was performed. The histological examination showed a well differentiated squamous cell carcinoma and no evidence of metastasis in lymph nodes or elsewhere could be found by conventional computed tomography (CT) and positron emission CT (PET-CT).
我们报告了一例71岁男性患者，其于2010年9月首次被诊断为结膜鳞状细胞癌。病变组织被切除两次，并对切缘进行了冷冻治疗。组织学检查显示切缘并非无肿瘤，但未进一步进行切除。5个月后，该患者因肿瘤肿块增大被转诊至我科，肿瘤已浸润至前房并部分破坏虹膜。鉴于这一进展性发现，遂行扩大眼球摘除术。组织学检查显示为高分化鳞状细胞癌，通过传统计算机断层扫描（CT）和正电子发射断层扫描（PET-CT）未发现淋巴结或其他部位有转移迹象。
