双边扩散的成功辅助治疗UVEAL黑色素细胞增多与高剂量静脉内免疫球蛋白疗法
Nicholas J Saba1, Timothy J Hong2, Scott D Walter3
1Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York.
Retinal cases & brief reports
|August 21, 2023
概括
静脉注射免疫球蛋白 (IVIG) 是对双边扩散性阴道黑色素细胞增殖的有前途的辅助治疗方法,特别是在胃癌的次要时. 本案例报告详细介绍了IVIG和标准癌症疗法的成功管理,显示了显著的视觉和解剖改善.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 双边扩散性阴道黑色细胞增殖 (BDUMP) 管理是有争议的,有史以来青的等离子体化.
- BDUMP可能是一种神经瘤综合征,与胃腺癌等潜在的恶性瘤有关.
研究的目的:
- 报告胃腺癌的二次BDUMP病例.
- 评估辅助静脉注射免疫球蛋白 (IVIG) 在治疗这种疾病中的疗效.
主要方法:
- 一名75岁的BDUMP男性患者接受了3年的随访.
- 进行了连续的眼科检查,包括光学连贯性断层扫描和多式血管造影.
- 治疗涉及高剂量IVIG治疗和扩展策略,以及胃腺癌的手术切除和化疗.
主要成果:
- 患者在视觉敏度和主观视觉功能方面经历了显著的改善.
- 解剖学评估显示,血清性视网膜病变和冠状腺厚度的快速和持续改善.
- 潜在的胃恶性瘤实现了完全的放射性缓解.
结论:
- 静脉注射免疫球蛋白 (IVIG) 可以作为选择BDUMP患者的可行的辅助治疗.
- 与胃癌相关的BDUMP的成功管理需要采用多模式方法.
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