Jain Nisha X, Morgan Michael, Corbo Joseph, Sharma Aseem, Van Stavern Gregory P
Department of Ophthalmology and Visual Sciences.
Department of Neurology.
Neuroophthalmology. 2013 Sep 24;37(5):204-208. doi: 10.3109/01658107.2013.809367. eCollection 2013.
Structural lesions involving the visual pathways often require tissue diagnosis to guide therapy. However, pathology is not always definitive, and a biopsy showing poorly differentiated cells poses significant difficulty in identifying the primary tumour. We report a case of metastatic disease causing cavernous sinus syndrome, in which biopsy revealed poorly differentiated tissue. The patient reported a history of a resected uterine tumour, and it was only after obtaining slides from 7 years prior that the diagnosis was made.
累及视觉通路的结构性病变通常需要进行组织诊断以指导治疗。然而,病理诊断并不总是明确的,活检显示细胞分化差的情况在识别原发性肿瘤时会带来很大困难。我们报告一例导致海绵窦综合征的转移性疾病病例,该病例活检显示为分化差的组织。患者有子宫肿瘤切除史,直到获取7年前的切片后才得以确诊。