Francis I C, Kappagoda M B, Smith J F, Semmonds D B, Hewson J W
Med J Aust. 1986;145(11-12):632-4.
A 68-year-old man was first diagnosed as having acute myelomonoblastic leukaemia on March 17, 1983. After two remissions with treatment, he suffered a further relapse, which caused him to present with a red eye, visual failure, and oedema of the right optic nerve head. Examination of cerebrospinal fluid that was obtained on lumbar puncture demonstrated an acute central nervous system relapse. Computed tomographic scanning led to the diagnosis of leukaemic infiltration of the optic nerve. Systemic and intrathecal treatment by appropriate chemotherapy and by orbital radiotherapy led to resolution of the clinical problem.
一名68岁男性于1983年3月17日首次被诊断为急性粒单核细胞白血病。经过两次治疗缓解后，他再次复发，出现眼红、视力减退和右侧视神经乳头水肿。腰椎穿刺获取的脑脊液检查显示急性中枢神经系统复发。计算机断层扫描诊断为白血病视神经浸润。通过适当的化疗、鞘内治疗和眼眶放疗进行的全身治疗使临床问题得到解决。
