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非典型性视神经炎为睾丸恶性肿瘤的首发表现：罕见病例报告并文献复习。

Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature.

机构信息

Department of Ophthalmology, V.M.M.C and Safdarjung Hospital, New Delhi, India.

Department of Ophthalmology, H.I.M.S.R and H.A.H.C Hospital, New Delhi, India.

出版信息

Indian J Ophthalmol. 2020 Aug;68(8):1696-1698. doi: 10.4103/ijo.IJO_2256_19.

DOI:10.4103/ijo.IJO_2256_19
PMID:32709828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7640826/
Abstract

A 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery. However, the patient relapsed within one week. Repeat imaging revealed metastatic lesions near the orbital apex. Orbit is an unusual site of metastasis from testicular tumors and only 3 cases of testicular synovial sarcoma with orbital metastasis have been reported. A thorough systemic evaluation should be done in cases of atypical and relapsing optic neuritis to rule out the causes of optic neuritis (ON) masquerade syndrome.

摘要

一位 23 岁男性出现单侧急性发作、无痛性、进行性视力减退。最初的临床和影像学检查结果符合视神经炎。患者开始接受脉冲类固醇治疗，视力有所恢复。然而，患者在一周内复发。重复影像学检查显示眶尖附近有转移病灶。眼眶是睾丸肿瘤转移的罕见部位，仅有 3 例睾丸滑膜肉瘤伴眼眶转移的病例报道。对于不典型和复发的视神经炎，应进行全面的系统评估，以排除视神经炎（ON）伪装综合征的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/608d1bd2dd63/IJO-68-1696-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/47a306356cd8/IJO-68-1696-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/69cd09be4209/IJO-68-1696-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/44db10784a05/IJO-68-1696-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/608d1bd2dd63/IJO-68-1696-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/47a306356cd8/IJO-68-1696-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/69cd09be4209/IJO-68-1696-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/44db10784a05/IJO-68-1696-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfeb/7640826/608d1bd2dd63/IJO-68-1696-g004.jpg

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