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癌症相关的视网膜病变作为妇科小细胞癌的初始表现
Hwa-Shin Fang1, Chang-Sue Yang1,2, Cheng-Kuo Cheng1,3,4
1Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Taiwan journal of ophthalmology
|September 25, 2025
概括
癌症相关视网膜病变 (CAR) 可以在癌症诊断之前,呈现为视力丧失. 早期承认CAR.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 神经科学是一个神经科学.
背景情况:
- 癌症相关视网膜病变 (CAR) 是一种影响光受体细胞的自身免疫性疾病.
- 汽车可以表现为一种神经瘤综合征,在诊断潜在恶性瘤之前.
研究的目的:
- 强调识别CAR的眼科表现的重要性,以便早期检测隐性恶性瘤.
- 报告与子宫内膜或子宫小细胞癌相关的罕见CAR病例.
主要方法:
- 一个56岁的女性双边视力模糊的案例报告.
- 眼科检查包括视觉敏度,光学连贯性断层扫描 (OCT),光素血管造影 (FA) 和绿色阳光素血管造影 (ICGA).
- 系统性检查以确定潜在的恶性瘤.
主要成果:
- 患者出现了快速渐进的双边视力丧失.
- 超越欧盟国家和地区发现了对外外视网膜薄化.
- 血管造影显示在晚期出现低光斑点,暗示CAR. 被诊断为子宫内膜或子宫的隐性小细胞癌.
- 在口服普雷迪尼松治疗后,观察到初始视力改善.
结论:
- 汽车可以是一个未被诊断的,侵略性的神经内分泌瘤的初始呈现标志.
- 及时的眼科评估和系统性调查对于在疑似CAR病例中早期发现癌症至关重要.
- 尽管接受了治疗,但不幸的是,由于败血症,该患者在两个月内死亡.
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