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床旁超声诊断眼内乳腺转移瘤

Point-of-care Ultrasound Diagnosed Intraocular Breast Metastasis.

作者信息

Yusuf Hamzah M, Batchelor Timothy, Ashenburg Nicholas

机构信息

Stanford University, Department of Emergency Medicine, Palo Alto, California.

出版信息

Clin Pract Cases Emerg Med. 2024 Aug;8(3):298-299. doi: 10.5811/cpcem.1686.

DOI:10.5811/cpcem.1686
PMID:39158254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326063/
Abstract

CASE PRESENTATION

A 60-year-old female presented to the emergency department with unilateral eye pain and vision loss. Point-of-care ultrasound (POCUS) was performed, which demonstrated ocular metastatic lesions of breast cancer.

DISCUSSION

Ocular metastasis is rare, clinically challenging, and may present with a wide range of ophthalmic symptoms. However, POCUS may safely and rapidly identify metastatic lesions to direct further care.

摘要

病例报告

一名60岁女性因单侧眼痛和视力丧失就诊于急诊科。进行了床旁超声检查（POCUS），结果显示为乳腺癌眼部转移瘤。

讨论

眼部转移罕见，临床诊断具有挑战性，可能出现多种眼科症状。然而，床旁超声检查（POCUS）可以安全、快速地识别转移瘤，以指导进一步治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1926/11326063/97f30a36e97e/cpcem-8-298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1926/11326063/97f30a36e97e/cpcem-8-298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1926/11326063/97f30a36e97e/cpcem-8-298-g001.jpg

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本文引用的文献

1
Advances in the treatment of intraocular malignancies: A literature review.眼内恶性肿瘤治疗进展：文献综述
Front Med (Lausanne). 2022 Oct 18;9:975565. doi: 10.3389/fmed.2022.975565. eCollection 2022.
2
Clinical and ultrasonographic features of choroidal metastases based on primary cancer site: Long-term experience in a single center.基于原发癌部位的脉络膜转移的临床和超声特征：单中心长期经验。
PLoS One. 2021 Mar 25;16(3):e0249210. doi: 10.1371/journal.pone.0249210. eCollection 2021.
3
Cancers of the eye.眼部肿瘤。
Cancer Metastasis Rev. 2018 Dec;37(4):677-690. doi: 10.1007/s10555-018-9762-9.
4
Ocular presentations of breast cancer.乳腺癌的眼部表现。
Acta Ophthalmol Scand. 2007 Mar;85(2):133-42. doi: 10.1111/j.1600-0420.2006.00737.x.
5
Decreased prevalence of asymptomatic choroidal metastasis in disseminated breast and lung cancer: argument against screening.在播散性乳腺癌和肺癌中无症状脉络膜转移的患病率降低：反对筛查的论据
Br J Ophthalmol. 2007 Jan;91(1):74-5. doi: 10.1136/bjo.2006.099416. Epub 2006 Aug 30.