Schmidt M, Schmidt T, Ugi I
Augenklinik rechts der Isar, Technischen Universität München.
Klin Monbl Augenheilkd. 1994 Jul;205(1):40-3. doi: 10.1055/s-2008-1045489.
The case report of a patient with renal cell carcinoma and orbital metastasis is presented and the clinical and histological characteristics are discussed.
A 69-year-old man, status post nephrectomy secondary to a renal cell carcinoma, presented with a swelling of the lower lid, reduced visual acuity and visual field defects in the left eye. Ultrasonography and CAT scan revealed a well demarcated orbital tumor.
The tumor was excized in toto and the diagnosis orbital metastasis of a renal cell carcinoma verified histologically. The patient showed good postoperative recovery with greatly reduced clinical symptoms. Two years later a recurrence of the orbital tumor was noticed, which was also removed in toto.
The in toto excision of an orbital metastasis of a renal cell carcinoma is a valid therapeutic approach regarding the tumor morphology and the achievable postoperative symptomatic relief.
报告一例肾细胞癌伴眼眶转移患者的病例，并讨论其临床和组织学特征。
一名69岁男性，因肾细胞癌接受肾切除术后，出现左眼下睑肿胀、视力下降和视野缺损。超声检查和计算机断层扫描显示眼眶肿瘤边界清晰。
肿瘤被完整切除，组织学检查证实为肾细胞癌眼眶转移。患者术后恢复良好，临床症状明显减轻。两年后，发现眼眶肿瘤复发，也被完整切除。
对于肾细胞癌眼眶转移，完整切除肿瘤在肿瘤形态学及术后症状缓解方面是一种有效的治疗方法。
