García Vásquez Ángel, Thomassiny Bautista Gabriela, Sardá Ramirez María José, Moheno Lozano Janet Amelia, Solorzano Enriquez Oscar, De la Rosa Jaime Erika
Department of Ophthalmology, Instituto Mexicano del Seguro Social, Hospital de Especialidades, Centro Médico Nacional de Occidente, Zapopan, Mexico.
Department of Radiology and Imaging, Instituto Mexicano del Seguro Social, Hospital de Especialidades, Centro Médico Nacional de Occidente, Zapopan, Mexico.
Case Rep Ophthalmol. 2020 Nov 24;11(3):630-638. doi: 10.1159/000511109. eCollection 2020 Sep-Dec.
We present the case of a 43-year-old woman with unilateral loss of vision who had a history of cervical cancer, staged as FIGO IIIB, and who had undergone previous chemotherapy and radiotherapy, but was not a surgical candidate. An examination revealed serous retinal detachment with an underlying choroidal mass in the left eye. We reviewed all available published case reports of uterine cervix metastases to the eye and adnexa and compiled all information into a table to present clinical and epidemiological findings. Unilateral choroidal metastasis arising from cervical cancer is extremely rare. In most cases, a history of cervical carcinoma is confirmed in the advanced stage of the disease. Ocular metastasis may be the presenting feature of primary cervical malignancy; therefore, to rule out malignancy in every woman who develops these clinical features, a cervical examination should be included in the workup.
我们报告了一例43岁女性病例,该患者有单侧视力丧失,有子宫颈癌病史,国际妇产科联盟(FIGO)分期为IIIB期,曾接受过化疗和放疗,但不适合手术。检查发现左眼浆液性视网膜脱离并伴有脉络膜肿物。我们回顾了所有已发表的子宫颈转移至眼及附件的病例报告,并将所有信息整理成表格以呈现临床和流行病学结果。宫颈癌引起的单侧脉络膜转移极为罕见。在大多数情况下,宫颈癌病史在疾病晚期得到证实。眼部转移可能是原发性宫颈恶性肿瘤的首发特征;因此,为了排除出现这些临床特征的每位女性的恶性肿瘤,检查应包括宫颈检查。