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以视盘转移作为非小细胞肺癌首发症状:一例报告

Optic disc metastasis presenting as an initial sign of non-small-cell lung cancer: a case report.

作者信息

Lai Kunbei, Lu Lin, Gong Yajun, Jin Chenjin

机构信息

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

出版信息

J Int Med Res. 2020 Sep;48(9):300060520959491. doi: 10.1177/0300060520959491.

Abstract

Most intraocular metastases are detected in the choroid, iris, ciliary body, or retina. Conversely, tumors rarely metastasize to the optic disc, and they even less frequently present as the initial sign of cancer. In this study, we presented the case of a patient who first visited the ophthalmology department because of gradual visual impairment without any systemic symptoms, and she was ultimately diagnosed with non-small-cell lung cancer. This case report illustrated that visual impairment may be the first sign of non-small-cell lung cancer; therefore, we should not neglect ocular metastasis even when the patient has no systemic symptoms on her/his first visit to the ophthalmology department.

摘要

大多数眼内转移瘤在脉络膜、虹膜、睫状体或视网膜中被发现。相反,肿瘤很少转移至视盘,更很少以癌症的初始体征出现。在本研究中,我们报告了一例患者,她因逐渐出现视力障碍且无任何全身症状而首次就诊于眼科,最终被诊断为非小细胞肺癌。本病例报告表明,视力障碍可能是非小细胞肺癌的首发体征;因此,即使患者首次就诊于眼科时无全身症状,我们也不应忽视眼转移瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ec/7521053/7101f6481b29/10.1177_0300060520959491-fig1.jpg

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