Department of Pathology, Hangzhou Red Cross Hospital, Zhejiang, China, 310003.
Department of Clinical Laboratory, Hangzhou Red Cross Hospital, Zhejiang, China, 310003.
J Int Med Res. 2023 Aug;51(8):3000605231187943. doi: 10.1177/03000605231187943.
Choroidal metastatic tumours from gastric cancer (GC) are rare compared with breast and lung cancer. Here, we report a patient with GC who presented to our ophthalmology clinic with a one-week history of left eye visual disorder and pain. Fundoscopic and B-scan examinations suggested a choroidal metastatic tumour. Computed tomography (CT) and magnetic resonance imaging (MRI) scans confirmed our initial diagnosis. Histopathology and immunohistochemical findings showed the tumour most likely originated from the gastrointestinal tract. Although the patient was well after eye removal, he died two months after surgery. Metastasis of GC should be a consideration when a patient with a history of GC presents with eye pain, decreased vision, and/or high intraocular pressure.
与乳腺癌和肺癌相比，源于胃癌的脉络膜转移瘤较为少见。在此，我们报告一例胃癌患者，因左眼视力障碍和疼痛一周就诊于我院眼科。眼底和 B 型超声检查提示脉络膜转移瘤。计算机断层扫描（CT）和磁共振成像（MRI）扫描证实了我们的初步诊断。组织病理学和免疫组织化学检查结果显示，该肿瘤最有可能来源于胃肠道。尽管患者在眼球摘除后情况良好，但在手术后两个月死亡。对于有胃癌病史的患者，当出现眼痛、视力下降和/或高眼压时，应考虑胃癌转移的可能。
