Rush J A, Waller R R, Campbell R J
Am J Ophthalmol. 1980 May;89(5):636-40. doi: 10.1016/0002-9394(80)90279-2.
Acute exophthalmos and ophthalmoplegia of the left eye developed in a 58-year-old woman convalescing from a right hemicolectomy for a carcinoid tumor of the colon. Roentgenograms of the orbit and computed tomograms showed a large posterior left orbital mass. Lateral orbitotomy and biopsy confirmed the diagnosis of metastatic carcinoid tumor. Irradiation with radioactive cobalt (60Co) resulted in early relief of the ocular symptoms. To the best of our knowledge, this is the second documented case of orbital metastatic carcinoid tumor and the first patient with orbital involvement from a primary carcinoid tumor of the colon. Orbital irradiation for metastatic orbital carcinoid tumor has not been previously reported and should be used for symptomatic relief, because long-term survival is possible in patients with metastatic carcinoid tumors.
一名58岁女性在因结肠类癌瘤接受右半结肠切除术后康复过程中，出现了左眼急性眼球突出和眼肌麻痹。眼眶X线片和计算机断层扫描显示左眼眶后部有一个大肿块。外侧眼眶切开术和活检确诊为转移性类癌瘤。用放射性钴（60Co）照射使眼部症状早期缓解。据我们所知，这是第二例有文献记载的眼眶转移性类癌瘤病例，也是首例因结肠原发性类癌瘤而累及眼眶的患者。此前尚未报道过对转移性眼眶类癌瘤进行眼眶照射，鉴于转移性类癌瘤患者有可能长期存活，应采用眼眶照射来缓解症状。
