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RPE Adenocarcinoma as the Presenting Sign of Bronchogenic Carcinoma: Diagnostic Dilemma in the Management of a Case.

作者信息

Adulkar Namrata, Radhakrishnan Santhi, Vidhya N, Kim Usha

机构信息

Department of Orbit, Oculoplasty & Ocular Oncology, Aravind Eye Hospital & Postgraduate Institute, Madurai, Tamil Nadu 652020, India.

出版信息

Case Rep Ophthalmol Med. 2013;2013:786378. doi: 10.1155/2013/786378. Epub 2013 Mar 27.

DOI:10.1155/2013/786378
PMID:23607017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3623115/
Abstract

Neoplasms of retinal pigment epithelium are rare and must be differentiated from choroidal melanoma. The possibility of a metastatic disease with possible primary sites as lung, breast, or kidney should be ruled out. Herein we report a case of adenocarcinoma arising from the RPE with a lung lesion suspicious of bronchogenic carcinoma. In this paper, ocular symptoms were the first sign of a systemic malignancy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/e49b5849566c/CRIM.OPHMED2013-786378.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/db09a4219ae2/CRIM.OPHMED2013-786378.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/e325e1f27e79/CRIM.OPHMED2013-786378.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/2aaf50881d04/CRIM.OPHMED2013-786378.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/e49b5849566c/CRIM.OPHMED2013-786378.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/db09a4219ae2/CRIM.OPHMED2013-786378.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/e325e1f27e79/CRIM.OPHMED2013-786378.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/2aaf50881d04/CRIM.OPHMED2013-786378.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/3623115/e49b5849566c/CRIM.OPHMED2013-786378.004.jpg

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本文引用的文献

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Diagnostic surprise in an evisceration specimen.一例剖腹探查标本中的诊断意外情况。
Orbit. 2007 Jun;26(2):129-31. doi: 10.1080/01676830600974902.
2
Choroidal mass as the presenting sign of small cell lung carcinoma.脉络膜肿物作为小细胞肺癌的首发体征
Can J Ophthalmol. 2006 Oct;41(5):605-8. doi: 10.1016/S0008-4182(06)80032-3.
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Choroidal metastasis in disseminated lung cancer: frequency and risk factors.播散性肺癌中的脉络膜转移:发生率及危险因素
伴有双侧肺转移的侵袭性睫状体腺癌:组织学、分子、遗传学及临床特征
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Neoplasms of the retinal pigment epithelium: the 1998 Albert Ruedemann, Sr, memorial lecture, Part 2.视网膜色素上皮肿瘤:1998年阿尔伯特·鲁德曼纪念讲座,第二部分
Arch Ophthalmol. 1999 May;117(5):601-8. doi: 10.1001/archopht.117.5.601.
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Arch Ophthalmol. 1998 Apr;116(4):525-8. doi: 10.1001/archopht.116.4.525.
6
Adenocarcinoma of the retinal pigment epithelium: a diagnostic and therapeutic challenge.视网膜色素上皮腺癌:诊断与治疗挑战
Graefes Arch Clin Exp Ophthalmol. 1996 Aug;234 Suppl 1:S22-7. doi: 10.1007/BF02343044.