Ergenc Hasan, Onmez Attila, Oymak Ezgi, Tanriseven Ramiser, Celik Erkan, Onmez Funda Ebru, Tamer Ali, Baykara Meltem
Sakarya University Training and Research Hospital, Department of Internal Medicine, Sakarya, Turkey.
Turkey Republic Ministry of Health Kocaali State Hospital, Department of Internal Medicine, Sakarya, Turkey.
Case Rep Oncol. 2016 Sep 13;9(3):530-536. doi: 10.1159/000449154. eCollection 2016 Sep-Dec.
The most common malignancy of the eye is metastatic tumors, with choroidal metastases being the majority of them. In women, breast cancer is the most common cause of orbital metastases, and in men, it is lung cancer. Despite the fact that there are efficient treatment options for orbital metastases, the benefit of procedures to detect choroidal metastases is debatable due to the quick progression and poor prognosis of lung cancer. In choroidal metastases resulting from lung cancer, patients are usually presented with decreased sight. Defects in the field of vision, flashes of light and floating bodies generally follow. Treatment options of choroidal metastases include many methods including laser photocoagulation, cryotherapy, chemotherapy, radiotherapy, surgical resection, enucleation and photodynamic therapy. There are reports emphasizing radiotherapy as the most efficient treatment option. In this case report, we sum up the case of a male patient presenting with blurry vision in both eyes, who was subsequently detected to have bilateral choroidal metastatic tumor and was diagnosed with primary lung adenocarcinoma.
眼部最常见的恶性肿瘤是转移性肿瘤，其中大多数为脉络膜转移瘤。在女性中，乳腺癌是眼眶转移最常见的原因，而在男性中则是肺癌。尽管有针对眼眶转移的有效治疗方案，但由于肺癌进展迅速且预后不良，检测脉络膜转移瘤的程序的益处仍存在争议。在由肺癌引起的脉络膜转移中，患者通常会出现视力下降。随后通常会出现视野缺损、闪光和飞蚊症。脉络膜转移瘤的治疗选择包括多种方法，如激光光凝、冷冻疗法、化疗、放疗、手术切除、眼球摘除和光动力疗法。有报告强调放疗是最有效的治疗选择。在本病例报告中，我们总结了一名双眼视力模糊的男性患者的病例，该患者随后被检测出患有双侧脉络膜转移瘤，并被诊断为原发性肺腺癌。
