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视力模糊作为播散性肺恶性肿瘤的唯一初始表现。

Blurred vision as the sole initial presentation of disseminated lung malignancy.

作者信息

Jacob Mary K, Pinheiro Cecil, George Prasad, Zaidi Zafar A

机构信息

Department of Ophthalmology, Nizwa Hospital, Oman.

Department of Medicine, Nizwa Hospital, Oman.

出版信息

Saudi J Ophthalmol. 2013 Oct;27(4):291-4. doi: 10.1016/j.sjopt.2013.07.014. Epub 2013 Aug 6.

Abstract

Symptomatic choroidal metastasis (CM) is a rare presenting feature of disseminated lung malignancy. Detection of the primary malignancy usually precedes ocular findings. We report a rare case of blurred vision secondary to bilateral CM as the sole initial manifestation of disseminated lung malignancy in a female patient. Pulmonary symptoms appeared 2 months later. She received radiotherapy and palliative chemotherapy and survived for 7 months after the initial presentation.

摘要

症状性脉络膜转移瘤(CM)是播散性肺恶性肿瘤罕见的首发特征。原发性恶性肿瘤的发现通常先于眼部表现。我们报告一例罕见病例,一名女性患者双侧CM继发视力模糊,是播散性肺恶性肿瘤唯一的初始表现。2个月后出现肺部症状。她接受了放疗和姑息化疗,初次就诊后存活了7个月。

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Ophthalmology. 2012 Jun;119(6):1218-22. doi: 10.1016/j.ophtha.2011.12.024. Epub 2012 Mar 3.
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Emerging treatments for choroidal metastases.脉络膜转移瘤的新兴治疗方法。
Surv Ophthalmol. 2011 Nov-Dec;56(6):511-21. doi: 10.1016/j.survophthal.2011.05.001.
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Metastatic choroidal tumors in Taiwan: an 11-year experience.
Am J Ophthalmol. 2005 Oct;140(4):735-7. doi: 10.1016/j.ajo.2005.03.068.
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Am J Ophthalmol. 2003 Feb;135(2):239-41. doi: 10.1016/s0002-9394(02)01921-9.

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