Shields J A, Shields C L, Augsburger J J, Negrey J N
Oncology Service, Wills Eye Hospital, Philadelphia, PA 19107.
Ophthalmic Plast Reconstr Surg. 1987;3(1):9-12. doi: 10.1097/00002341-198701000-00002.
A 60-year-old man developed a subcutaneous mass in the right lower eyelid 2 1/2 years after enucleation of the left eye for a mixed-cell-type choroidal melanoma. Excision of the subcutaneous eyelid mass revealed the tumor to be a malignant melanoma composed of spindle B cells similar to those in the intraocular tumor. The patient's systemic evaluation, including liver enzymes, has remained normal, with no signs of further metastasis and no evidence of another primary melanoma for 14 months of postexcision follow-up. The significance of the rare occurrence of isolated metastatic melanoma from the choroid of one eye to the eyelid of the other is discussed.
一名60岁男性在左眼因混合细胞型脉络膜黑色素瘤摘除眼球2年半后，右下眼睑出现皮下肿物。切除该皮下眼睑肿物后发现肿瘤为恶性黑色素瘤，由与眼内肿瘤中相似的梭形B细胞组成。患者的全身评估，包括肝酶检查，一直正常，切除术后14个月的随访中无进一步转移迹象，也没有另一个原发性黑色素瘤的证据。本文讨论了罕见的单眼脉络膜黑色素瘤转移至对侧眼睑这一现象的意义。
