Tunis Med. 2021 Feb;99(2):298-301.
Bilateral diffuse uveal melanocytic proliferation is a rare paraneoplastic disorder where bilateral blindness is caused by uveal thickening, serous retinal detachment, and rapid cataract formation. Several different malignancies have been associated with bilateral diffuse uveal melanocytic proliferation, but ovarian carcinoma in women and lung and pancreatic carcinoma in men are the most common. The underlying mechanism is thought to be related to a an endogenous factor wich regulates the proliferation of uveal melanocytes. We present the case of a 75-year-old man with bilateral diffuse uveal melanocytic proliferation secondary to pulmonary adenocarcinoma.
双侧弥漫性葡萄膜黑色素细胞增生是一种罕见的副肿瘤性疾病,可导致双眼失明,其原因是葡萄膜增厚、浆液性视网膜脱离和快速白内障形成。多种不同的恶性肿瘤与双侧弥漫性葡萄膜黑色素细胞增生相关,但女性中最常见的是卵巢癌,男性中则是肺癌和胰腺癌。其潜在机制被认为与调节葡萄膜黑色素细胞增殖的内源性因子有关。我们报告了一例 75 岁男性病例,其因肺腺癌而继发双侧弥漫性葡萄膜黑色素细胞增生。