由新生体引起的疼痛眼睛:一个病例报告和综述
Michelle Ouellette1, Jorge Agi2, Matthew Murphy1
1Department of Supportive Care Medicine, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Journal of palliative medicine
|December 30, 2025
概括
从基底细胞癌侵入轨道的严重眼睛疼痛是具有挑战性的. 息性核切除 (眼球摘除) 在患有这种罕见疾病的患者中有效地缓解了疼痛.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 眼部不适是癌症治疗的常见副作用之一.
- 虽然眼睛干燥可以使用滑剂来控制,但瘤引起的严重眼睛疼痛具有挑战性.
- 带有轨道入侵的基底细胞癌是显著眼睛疼痛的不常见原因.
研究的目的:
- 呈现一种带有轨道入侵的基底细胞癌的病例,导致严重的眼睛疼痛.
- 为了回顾眼睛的感觉路径.
- 为了突出缓解性核化作为由于轨道瘤引起的难以治疗的眼睛疼痛的治疗选择.
主要方法:
- 一个63岁的男性患有基底细胞癌和轨道侵入的病例报告.
- 描述不断升级的止痛疗法.
- 眼睛瘤学转诊和随后的核切除 (手术切除眼球和视神经).
主要成果:
- 患者经历了持续的,严重的眼睛疼痛,对增加的止痛药没有反应.
- 手术取粒导致患者眼睛疼痛完全消失.
- 基底细胞癌与轨道入侵的组织病理学确认.
结论:
- 具有轨道入侵的非典型基底细胞癌可以导致严重的,难以治疗的眼睛疼痛.
- 在这种情况下,缓解性化是一种可行的和有效的治疗方法,用于耐火性眼痛.
- 了解眼部疼痛路径对于管理影响眼睛的复杂瘤病症至关重要.
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