Bata Bashar M, Salvi Sachin M
Sheffield Ocular Oncology Service, Department of Ophthalmology, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Ocul Oncol Pathol. 2021 Mar;7(2):85-90. doi: 10.1159/000511597. Epub 2021 Jan 4.
We report a case of a choroidal metastasis secondary to testicular mature teratoma, a subtype of non-seminoma germ cell tumours, in a young adult male. The choroidal metastasis was treated successfully with bleomycin, etoposide, and cisplatin chemotherapy without the need for adjuvant radiotherapy. This represents a rare case of mature teratoma metastasizing to the choroid and one of very few reported testicular germ cell tumours to achieve normal or near normal visual acuity with chemotherapy alone despite severe macular disease at presentation.
我们报告了一例年轻成年男性继发于睾丸成熟畸胎瘤(非精原细胞瘤性生殖细胞肿瘤的一种亚型)的脉络膜转移瘤病例。该脉络膜转移瘤通过博来霉素、依托泊苷和顺铂化疗成功治愈,无需辅助放疗。这是成熟畸胎瘤转移至脉络膜的罕见病例,也是极少数报告的睾丸生殖细胞肿瘤病例之一,尽管就诊时黄斑疾病严重,但单纯化疗后视力仍达到正常或接近正常水平。