肺鳞状细胞癌视网膜转移1例

发布时间：2018-05-24 09:07

本文选题：视网膜转移 + 肺肿瘤　；参考：《中国肺癌杂志》2017年09期

【摘要】：肺癌是临床上常见的恶性肿瘤,发病率和死亡率居肿瘤首位,严重威胁人类的健康。由于早期缺乏有效的、特异性强的筛查方法,多数患者发现时已处于中晚期,常合并骨、脑、肝、肾上腺等部位的转移。通常,患者多因原发病灶、扩散转移或副肿瘤综合征等引起临床症状而就诊。对由于远处转移相关症状作为首发表现就诊的患者,诊断是一个非常大的挑战。视网膜转移作为肺鳞癌的首发症状极其罕见。本文回顾性分析了我院收治的一例肺鳞癌患者的诊治经过,以眼部症状为首发表现,基于临床表现、影像学检查和手术病理诊断,给予患者手术、化疗等多学科综合治疗,目前短期预后良好,随访观察中。我们总结了本病例诊疗过程的特点,为临床医生提供经验。同时复习肿瘤眼内转移的相关文献,为我们对于肺癌罕见表现的深入了解提供了一个窗口。
[Abstract]:Lung cancer is a common malignant tumor in clinic. Due to the lack of effective and specific screening methods in the early stage, most of the patients were found in the middle and late stage, often accompanied by bone, brain, liver, adrenal and other sites of metastasis. Usually, patients with primary lesions, diffuse metastasis or paraneoplastic syndrome and other clinical symptoms and visits. Diagnosis is a great challenge for patients with distant metastasis-related symptoms as the initial manifestation. Retinal metastasis as the first symptom of lung squamous cell carcinoma is extremely rare. The diagnosis and treatment of a case of lung squamous cell carcinoma treated in our hospital were retrospectively analyzed. The first manifestation was ocular symptoms. Based on clinical manifestations, imaging examination and surgical and pathological diagnosis, the patients were given multi-disciplinary comprehensive treatment such as surgery, chemotherapy and so on. Current short-term prognosis is good, follow-up observation is in. We summarize the characteristics of the diagnosis and treatment of this case and provide experience for clinicians. At the same time, review of the literature on intraocular metastasis of tumor provides a window for our understanding of rare manifestations of lung cancer.
【作者单位】：吉林大学第一医院肾病内科;
【分类号】：R734.2

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