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脉络膜转移瘤揭示肺腺癌:一例报告

Choroidal Metastasis Revealing a Lung Adenocarcinoma: A Case Report.

作者信息

Aichouni Narjisse, Ziani Hamid, Kamaoui Imane, Nasri Siham, Skiker Imane

机构信息

Radiology, Mohammed VI University Hospital, Oujda, MAR.

Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR.

出版信息

Cureus. 2021 Oct 22;13(10):e18968. doi: 10.7759/cureus.18968. eCollection 2021 Oct.

DOI:10.7759/cureus.18968
PMID:34815909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8606043/
Abstract

Choroidal metastasis is the most common malignant intraocular tumor. Its diagnosis in a patient with known lung cancer is usually easy. However, without any context of already known cancer, further elements are needed to guide the diagnosis. We report the case of a 47-year-old patient with a history of smoking who presented a choroidal metastasis of left lower pulmonary lobe adenocarcinoma discovered on imaging. Imaging techniques, mainly ultrasonography, CT scan, and MRI can help guide the diagnosis of choroidal metastasis even in the absence of a known origin initially.

摘要

脉络膜转移瘤是最常见的眼内恶性肿瘤。对于已知患有肺癌的患者,其诊断通常较为容易。然而,在没有任何已知癌症背景的情况下,则需要更多要素来指导诊断。我们报告一例47岁有吸烟史的患者,其影像学检查发现左下肺叶腺癌的脉络膜转移。即使最初没有已知的原发灶,影像学技术,主要是超声、CT扫描和MRI,也有助于指导脉络膜转移瘤的诊断。

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本文引用的文献

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A Comprehensive Understanding of Choroidal Metastasis from Lung Cancer.对肺癌脉络膜转移的全面认识。
Onco Targets Ther. 2021 Aug 12;14:4451-4465. doi: 10.2147/OTT.S315532. eCollection 2021.
2
Multimodal Imaging in Choroidal Metastasis.脉络膜转移瘤的多模态影像学
Ophthalmic Res. 2021;64(3):411-416. doi: 10.1159/000512766. Epub 2020 Nov 3.
3
Large choroidal metastasis with exudative retinal detachment as presenting manifestation of small cell lung cancer: A case report.以渗出性视网膜脱离为首发表现的小细胞肺癌脉络膜大转移:一例报告
Radiol Case Rep. 2024 Apr 17;19(7):2703-2705. doi: 10.1016/j.radcr.2024.03.015. eCollection 2024 Jul.
Respir Med Case Rep. 2020 May 4;30:101074. doi: 10.1016/j.rmcr.2020.101074. eCollection 2020.
4
New concepts in the diagnosis and management of choroidal metastases.脉络膜转移瘤的诊断和治疗新概念。
Prog Retin Eye Res. 2019 Jan;68:144-176. doi: 10.1016/j.preteyeres.2018.09.003. Epub 2018 Sep 19.
5
Choroidal Metastasis as Initial Presentation in Adenocarcinoma of Lung: A Case Report.脉络膜转移作为肺癌腺癌的首发表现:一例报告
J Clin Diagn Res. 2017 Mar;11(3):XD04-XD06. doi: 10.7860/JCDR/2017/22533.9446. Epub 2017 Mar 1.
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Choroidal metastases: origin, features, and therapy.脉络膜转移瘤:起源、特征及治疗
Indian J Ophthalmol. 2015 Feb;63(2):122-7. doi: 10.4103/0301-4738.154380.