Iliaz S, Iliaz R, Avsar N, Tuncer S, Kilicaslan Z
Indian J Chest Dis Allied Sci. 2014 Oct-Dec;56(4):249-51.
A 28-year-old, non-smoker pregnant woman who was initially diagnosed to have deep vein thrombosis and pulmonary thromboembolism earlier in pregnancy, presented at 22 weeks of gestation with dyspnoea, visual loss initially in the right eye and then in the left eye. Fundoscopic examination revealed metastatic foci, suggestive of choroid metastases. Computed tomography of the chest revealed a right hilar mass. Fibreoptic bronchoscopy and bronchoscopic biopsy confirmed lung adenocarcinoma. As the patient and family wished to continue with the pregnancy, chemotherapy with cisplatin and was administered from the 31st week of pregnancy and she had undergone Caesarian section in the 32nd week and the baby was healthy. We report this case as it is probably the first reported case of lung cancer presenting with choroidal metastasis in a pregnant woman.
一名28岁的非吸烟孕妇，在妊娠早期最初被诊断为深静脉血栓形成和肺血栓栓塞，在妊娠22周时出现呼吸困难，起初右眼视力丧失，随后左眼也出现视力丧失。眼底镜检查发现转移性病灶，提示脉络膜转移。胸部计算机断层扫描显示右肺门肿块。纤维支气管镜检查和支气管镜活检证实为肺腺癌。由于患者及其家属希望继续妊娠，从妊娠第31周开始给予顺铂化疗，她在第32周接受了剖宫产，婴儿健康。我们报告此病例，因为这可能是首例报道的孕妇肺癌伴脉络膜转移的病例。
