Aburn N S, Whitehead K, Sullivan T J
Department of Surgery, Royal Brisbane Hospital, Herston, Queensland.
Aust N Z J Ophthalmol. 1995 Aug;23(3):241-4. doi: 10.1111/j.1442-9071.1995.tb00166.x.
Bronchopulmonary carcinoid tumours metastatic to the orbit are rare. A case is presented demonstrating presentation, histopathology and treatment.
A 64-year-old man with a history of bronchopulmonary atypical carcinoid presented with an orbital mass. The nature of this metastasis was confirmed with histology and it was surgically excised and, in addition, local radiotherapy and chemotherapy were administered.
There was a good response to the treatment for the orbital mass but other metastases developed, causing death.
In this case of atypical carcinoid, orbital metastasis was the first sign of disease progression. Histological confirmation of the diagnosis was important in this case to allow planning of oncological therapy and for appropriate patient counselling. A good local response was obtained with a combination of surgical excision, local radiotherapy and chemotherapy. The systemic prognosis remains poor in cases of metastatic bronchopulmonary atypical carcinoid tumour, in contrast to typical carcinoid.
转移至眼眶的支气管肺类癌肿瘤罕见。本文报告一例，展示其临床表现、组织病理学及治疗情况。
一名有支气管肺非典型类癌病史的64岁男性出现眼眶肿物。通过组织学确诊了该转移灶，并进行了手术切除，此外还给予了局部放疗和化疗。
眼眶肿物的治疗效果良好，但出现了其他转移灶，导致患者死亡。
在该非典型类癌病例中，眼眶转移是疾病进展的首个迹象。在本病例中，组织学确诊对制定肿瘤治疗方案及为患者提供恰当咨询很重要。手术切除、局部放疗和化疗联合应用取得了良好的局部治疗效果。与典型类癌不同，转移性支气管肺非典型类癌肿瘤的全身预后仍然很差。
