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乳腺浸润性小叶癌的眼眶转移

Orbital metastasis of invasive lobular carcinoma of the breast.

作者信息

Tsutsui Shinichi, Kawata Koto, Ubagai Tsutomu, Okimoto Satoshi, Fujihara Megumu, Maeda Takashi, Sonoda Takashi

出版信息

J Surg Case Rep. 2022 Jan 21;2022(1):rjab619. doi: 10.1093/jscr/rjab619. eCollection 2022 Jan.

DOI:10.1093/jscr/rjab619
PMID:35079342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8784179/
Abstract

We herein report a case of orbital metastasis from the breast cancer in a 58-year-old woman presenting with visual disturbance and bilateral periorbital swelling. She had undergone radical mastectomy for right breast cancer 9 years previously and been receiving hormone therapy for bone metastasis of breast cancer for the past 4 years. Computed tomography and magnetic resonance imaging revealed an ill-defined mass in the bilateral orbits, whereas an excisional biopsy confirmed metastasis of invasive lobular carcinoma (ILC) of the breast. The appearance of eye symptoms in patients who have a history of breast cancer, especially ILC should be investigated, with a consideration of orbital metastasis.

摘要

我们在此报告一例58岁女性乳腺癌眼眶转移病例，该患者出现视力障碍和双侧眶周肿胀。她9年前因右乳腺癌接受了根治性乳房切除术，在过去4年中一直在接受乳腺癌骨转移的激素治疗。计算机断层扫描和磁共振成像显示双侧眼眶有边界不清的肿块，而切除活检证实为乳腺浸润性小叶癌（ILC）转移。对于有乳腺癌病史的患者，尤其是ILC患者出现眼部症状时，应考虑眼眶转移并进行检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6c/8784179/00ffe4ec470b/rjab619f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6c/8784179/e12dfb934471/rjab619f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6c/8784179/00ffe4ec470b/rjab619f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6c/8784179/e12dfb934471/rjab619f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6c/8784179/00ffe4ec470b/rjab619f2.jpg

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本文引用的文献

1
Orbital Metastasis in Breast Cancer.乳腺癌的眼眶转移
N Engl J Med. 2019 Sep 19;381(12):e26. doi: 10.1056/NEJMicm1814570.
2
Metastases to extraocular muscles from breast cancer: case report and up-to-date review of the literature.乳腺癌眼外肌转移：病例报告及文献复习
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Clinical management of breast cancer heterogeneity.乳腺癌异质性的临床管理。
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High frequency of lobular breast cancer in distant metastases to the orbit.小叶性乳腺癌远处转移至眼眶的高发生率。
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Clinically used breast cancer markers such as estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 are unstable throughout tumor progression.临床上使用的乳腺癌标志物，如雌激素受体、孕激素受体和人表皮生长因子受体 2，在肿瘤进展过程中是不稳定的。
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Orbital metastasis of breast carcinoma.乳腺癌的眼眶转移
Breast Cancer (Auckl). 2009 Dec 2;3:91-7.
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Rethinking orbital imaging establishing guidelines for interpreting orbital imaging studies and evaluating their predictive value in patients with orbital tumors.重新审视眼眶成像：制定眼眶成像研究解读指南并评估其在眼眶肿瘤患者中的预测价值。
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Ophthalmology. 2004 May;111(5):997-1008. doi: 10.1016/j.ophtha.2003.01.002.
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Detection of oestrogen receptors (ER) alpha and beta in conjunctiva, lacrimal gland, and tarsal plates.结膜、泪腺及睑板中雌激素受体α和β的检测。
Eye (Lond). 2004 Jul;18(7):729-33. doi: 10.1038/sj.eye.6701314.
10
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Eur J Surg Oncol. 2002 Jun;28(4):383-7. doi: 10.1053/ejso.2002.1259.