提示葡萄膜黑色素瘤诊断的症状性肝转移
Symptomatic Liver Metastasis Prompting Diagnosis of Uveal Melanoma.
作者信息
Awh Caroline C, Wilson Matthew W
机构信息
Department of Ophthalmology, Hamilton Eye Institute, University of Tennessee Health Science Center, College of Medicine, Memphis, Tennessee, USA.
出版信息
Ocul Oncol Pathol. 2020 May;6(3):164-167. doi: 10.1159/000503035. Epub 2019 Oct 21.
Abstract
We report the case of a 66-year-old male with symptomatic liver metastasis as the presenting manifestation of primary uveal melanoma. Upon initial presentation to an emergency department with 2 months of abdominal pain, back pain, and unintended weight loss, a computed tomography scan demonstrated diffuse liver and bone lesions, prompting referral to a medical oncologist. He was eventually examined by an ophthalmologist, who found a lesion suspicious for uveal melanoma. This was ultimately confirmed to be the primary site of his malignant metastatic melanoma, which caused his death within 2 months of presentation.
摘要
我们报告了一例66岁男性病例，其以有症状的肝转移作为原发性葡萄膜黑色素瘤的首发表现。最初因腹痛、背痛和意外体重减轻2个月就诊于急诊科时，计算机断层扫描显示肝脏和骨骼有弥漫性病变，遂转诊至肿瘤内科医生处。最终他接受了眼科医生的检查，眼科医生发现了一个可疑为葡萄膜黑色素瘤的病变。这最终被确认为其恶性转移性黑色素瘤的原发部位，该患者在就诊后2个月内死亡。
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