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乳腺癌患者中酷似眼眶转移瘤的肌内丝虫病。

Intramuscular dirofilariasis mimicking an orbital metastasis in a patient with breast cancer.

作者信息

Henderson Brett M, Hunt Christopher H, Eckel Laurence J, Schwartz Kara M, Diehn Felix E, Pritt Bobbi S, Schembri Wismayer David J, Garrity James A

机构信息

College of Osteopathic Medicine, Des Moines University, 3200 Grand Ave. Des Moines, IA 50312, USA.

出版信息

Case Rep Radiol. 2012;2012:103154. doi: 10.1155/2012/103154. Epub 2012 Sep 13.

DOI:10.1155/2012/103154
PMID:23008795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3449108/
Abstract

We present the unusual case of a 74 year-old female with a history of breast cancer who presented with acute painless orbital swelling and vertical diplopia. MRI revealed a focal enhancing mass within the superior rectus muscle. As the concern for metastatic disease was high, surgical biopsy was performed and revealed an unusual mimicker of metastatic disease, the parasitic infection dirofilariasis.

摘要

我们报告了一例罕见病例，一名74岁有乳腺癌病史的女性，出现急性无痛性眼眶肿胀和垂直性复视。磁共振成像（MRI）显示上直肌内有一个局灶性强化肿块。由于高度怀疑是转移性疾病，遂进行了手术活检，结果显示是一种罕见的转移性疾病模仿者——寄生虫感染性犬恶丝虫病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/3449108/7c33ce541315/CRIM.RADIOLOGY2012-103154.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/3449108/45908a387e38/CRIM.RADIOLOGY2012-103154.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/3449108/7c33ce541315/CRIM.RADIOLOGY2012-103154.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/3449108/45908a387e38/CRIM.RADIOLOGY2012-103154.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/3449108/7c33ce541315/CRIM.RADIOLOGY2012-103154.002.jpg

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本文引用的文献

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Head Neck Oncol. 2011 Aug 22;3:37. doi: 10.1186/1758-3284-3-37.
2
Human ocular infection with Dirofilaria repens (Railliet and Henry, 1911) in an area endemic for canine dirofilariasis.人体眼部感染繁殖期犬恶丝虫（Railliet 和 Henry，1911），该地区为犬恶丝虫病流行区。
Am J Trop Med Hyg. 2011 Jun;84(6):1002-4. doi: 10.4269/ajtmh.2011.10-0719.
3
A First Human Case of Ocular Dirofilariosis due to Dirofilaria repens in Northeastern France.
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Infect Agent Cancer. 2015 Jan 7;10(1):1. doi: 10.1186/1750-9378-10-1. eCollection 2015.
法国东北部首例人眼匐形住肠线虫病（由 Repens 型犬恶丝虫引起）。
J Trop Med. 2011;2011:698647. doi: 10.1155/2011/698647. Epub 2011 Mar 10.
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Pulmonary dirofilariasis in a Caucasian patient with metastasised osteosarcoma in a non-endemic European region.一名白种人患者在欧洲非流行地区患骨肉瘤转移伴肺丝虫病。
Thorax. 2011 Mar;66(3):270. doi: 10.1136/thx.2010.142323. Epub 2010 Nov 15.
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