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一例子宫平滑肌肉瘤眼眶转移伴颅内侵犯并以眼球突出为表现的病例

A Case of Orbital Metastasis of Uterine Leiomyosarcoma With Intracranial Extension Presenting With Proptosis.

作者信息

Kim Yeon-Hee, Park In-Ki, Min Gyeong Eun, Jin Kyung-Hyun, Shin Jae-Ho

机构信息

*Department of Obstetrics & Gynecology, Uijeonbu St. Mary Hospital, The Catholic University of Korea College of Medicine, Uijeonbu, Korea; and Departments of †Ophthalmology, and ‡Urology, Kyung Hee University Medical Center, Kyung Hee University, College of Medicine, Seoul, Korea.

出版信息

Ophthalmic Plast Reconstr Surg. 2016 May-Jun;32(3):e51-2. doi: 10.1097/IOP.0000000000000229.

Abstract

A 57-year-old woman presented with protrusion of the OS 2 months in duration and decreased vision 1 month in duration. The patient was diagnosed with uterine leiomyosarcoma approximately 3 years before presentation. Lung and liver metastases were diagnosed by biopsy 1 year prior to this visit. CT revealed a solid mass with central necrosis in the left lateral orbit that resulted in orbital shifting, bony destruction, and intracranial extension. The diagnosis was left orbital metastatic leiomyosarcoma, and the patient died 2 months after receiving the diagnosis.

摘要

一名57岁女性,出现右眼突出2个月,视力下降1个月。该患者在就诊前约3年被诊断为子宫平滑肌肉瘤。此次就诊前1年经活检诊断有肺和肝转移。CT显示左侧眶内有一中央坏死的实性肿块,导致眼眶移位、骨质破坏及颅内蔓延。诊断为左侧眼眶转移性平滑肌肉瘤,患者在确诊后2个月死亡。

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