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食管癌虹膜转移的快速进展:一例病例报告及文献复习

Rapid progress of an iris metastasis from esophageal cancer: a case report and review of literature.

作者信息

Xie Meng, Wang Xing-Hua, Yang Jun-Jie, Su Zi-Xuan, Huang Jia-Hui, Li Peng-Cheng, Jiang Fa-Gang

机构信息

Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.

出版信息

Int J Ophthalmol. 2024 Aug 18;17(8):1557-1567. doi: 10.18240/ijo.2024.08.22. eCollection 2024.

Abstract

This case report details a rare instance of rapid iris metastasis from esophageal cancer in a 59-year-old man. A literature review was conducted to explore recent advances in detecting, diagnosing, and treating intraocular metastatic malignancies. Positron emission tomography-computed tomography played a crucial role in identifying primary sites and systemic metastases. Local treatment combined with systemic therapy effectively reduced tumor size, preserved useful vision, and improved the patient's survival rate. A comparison was made of the characteristics of iris metastases from esophageal cancer and lung cancer, including age, gender, tumor characteristics, and treatment. The challenges associated with diagnosis and treatment are discussed, highlighting the implications for clinical practice.

摘要

本病例报告详细介绍了一名59岁男性食管癌快速转移至虹膜的罕见病例。进行了文献综述,以探讨眼内转移性恶性肿瘤在检测、诊断和治疗方面的最新进展。正电子发射断层扫描-计算机断层扫描在确定原发部位和全身转移方面发挥了关键作用。局部治疗联合全身治疗有效地缩小了肿瘤大小,保留了有用视力,并提高了患者的生存率。对食管癌和肺癌虹膜转移的特征进行了比较,包括年龄、性别、肿瘤特征和治疗。讨论了与诊断和治疗相关的挑战,强调了对临床实践的影响。

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[Iris metastases in breast carcinoma].[乳腺癌中的虹膜转移]
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本文引用的文献

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Plaque brachytherapy - Radiating positivity.斑块近距离放射治疗——传递正能量。
Indian J Ophthalmol. 2023 Jul;71(7):2927. doi: 10.4103/IJO.IJO_1291_23.
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Mechanisms of esophageal cancer metastasis and treatment progress.食管癌转移的机制与治疗进展。
Front Immunol. 2023 Jun 8;14:1206504. doi: 10.3389/fimmu.2023.1206504. eCollection 2023.
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Lung cancer screening.肺癌筛查。
Lancet. 2023 Feb 4;401(10374):390-408. doi: 10.1016/S0140-6736(22)01694-4. Epub 2022 Dec 20.
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How to Manage a Patient with Ocular Metastases?如何管理眼部转移瘤患者?
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