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甲状腺转移和排泄性视网膜脱落在甲状腺髓癌中的甲状腺癌
Anjali Shukla1, Kamal Nayan Biswas2, Reena Kumari2
1Ophthalmology, Mata Gujri Memorial Medical College, Kishanganj, Bihar, India anjalishuklaa992@gmail.com.
BMJ case reports
|July 22, 2025
概括
冠状腺转移,罕见的甲状腺癌,可以导致视力丧失. 这一案例突出了一个患有甲状腺髓癌的年轻人呈现眼球转移,强调需要彻底诊断.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
背景情况:
- 眼膜,特别是胸膜,是眼球转移的常见地点,因为它有丰富的血液供应.
- 眼转移通常源于乳腺和肺癌,而甲状腺癌是罕见的主要来源.
- 冠状腺转移会导致视力受损.
研究的目的:
- 报告一个罕见的病例从骨髓性甲状腺癌的胸腔转移在一个年轻的成年人.
- 突出诊断发现和这种不常见的疾病的临床表现.
主要方法:
- 一个被诊断为4期髓性甲状腺癌的患者的病例报告.
- 临床检查,包括鼻镜.
- 磁共振成像 (MRI) 评估转移性传播.
- 光素血管学 (冠状腺转移的标准诊断测试).
主要成果:
- 一名30岁的男性在右眼视力下降.
- fundus 检查显示了低颜色的病变和排泄性视网膜脱落.
- 核磁共振扫描证实了广泛的转移性疾病,包括轨道病变.
- 该患者已知有先进的甲状腺髓癌病史.
结论:
- 甲状腺癌引起的胸腔转移,虽然很少见,但应考虑在患有甲状腺癌史且出现视觉症状的患者.
- 综合成像和眼科评估对于诊断至关重要.
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