伴有双侧脉络膜转移的纵隔胚胎癌。荧光素血管造影和组织病理学研究。
Mediastinal embryonal carcinoma with bilateral choroidal metastases. Fluorescein angiographic and histopathologic study.
作者信息
Tarkkanen A, Laatikainen L, Mäkinen J, Merenmies L
出版信息
Ophthalmologica. 1979;179(2):77-82. doi: 10.1159/000308870.
28-year-old sportsman developed chest pain, dyspnoea, haemoptysis and swelling of the right leg. 8 weeks later he also complained of blurred vision. Ophthalmoscopy revealed subretinal infiltrates diagnosed as tumour metastases by fluorescein angiography. The patient died 10 weeks after the first symptoms. At autopsy large mediastinal embryonal carcinoma was diagnosed, and both eyes revealed choroidal metastases. This rare tumour usually involves young men and is invariably fatal within a few months. Exceptional bilateral choroidal metastases constituted the presenting sign.
一名28岁的运动员出现胸痛、呼吸困难、咯血和右腿肿胀。8周后，他还抱怨视力模糊。眼底镜检查发现视网膜下浸润，荧光素血管造影诊断为肿瘤转移。该患者在出现首发症状10周后死亡。尸检诊断为巨大纵隔胚胎癌，双眼均有脉络膜转移。这种罕见的肿瘤通常累及年轻男性，几个月内 invariably fatal。双侧脉络膜转移极为罕见，是首发症状。 （注：原文中“is invariably fatal within a few months”中“invariably”翻译为“总是、必然”，但结合语境这里翻译为“几个月内必死无疑”更通顺；最后一句“Exceptional bilateral choroidal metastases constituted the presenting sign.”翻译为“双侧脉络膜转移极为罕见，是首发症状” 比原翻译“双侧脉络膜转移为罕见的表现症状”更符合中文表达习惯。）
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