Bersani T A, Costello J J, Mango C A, Streeten B W
Department of Ophthalmology, State University of New York, Syracuse 13210.
Ophthalmic Plast Reconstr Surg. 1994 Mar;10(1):42-4. doi: 10.1097/00002341-199403000-00008.
A well-circumscribed, pseudoencapsulated benign-appearing lesion in the retrobulbar orbit of a 50-year-old man was found to be a metastatic renal cell carcinoma. The patient had a nephrectomy for renal cell carcinoma 15 years before, and had developed four other isolated metastases over the preceding 8 years. He had a further distant metastasis 1 year later, but is living and well 4 years after excision of the orbital tumor. Metastatic renal cell carcinoma of the orbit may have very benign characteristics, both clinically and radiographically, and can often be managed effectively by local excision with prolonged survival.
一名50岁男性患者的球后眼眶内发现一个边界清晰、有假包膜、外观良性的病变，结果是转移性肾细胞癌。该患者15年前因肾细胞癌接受了肾切除术，在之前的8年里又出现了另外4处孤立转移灶。1年后他又出现了远处转移，但在眼眶肿瘤切除4年后仍存活且状况良好。眼眶转移性肾细胞癌在临床和影像学上可能具有非常良性的特征，通常通过局部切除可有效治疗并延长生存期。
