转移性眼内瘤可能来自模仿松叶炎的肝细胞癌
Eri Takasu1, Yusuke Shiode1, Hiroya Kindo1
1Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Acta medica Okayama
|February 26, 2026
概括
肝细胞癌 (HCC) 可以转移到眼睛,导致视力丧失. 这一案例突显了用放射治疗成功治疗眼内HCC转移,防止复发.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 肝细胞癌 (HCC) 是一种主要的肝癌.
- 由HCC引起的眼转移很少见,但可能导致显著的视力损伤.
- 早期诊断和治疗对于治疗眼内瘤至关重要.
研究的目的:
- 报告来自肝细胞癌 (HCC) 的眼内转移病例.
- 描述眼部转移性HCC的诊断结果和治疗方法.
- 评估放射治疗在治疗眼部HCC转移中的疗效.
主要方法:
- 在已知的HCC患者中,视力模糊的临床表现.
- 眼科检查,包括裂纹灯显微镜和 fundus 检查.
- 玻璃体活检和细胞检查以确认瘤.
- 用眼睛放射治疗进行治疗.
主要成果:
- 玻璃细胞学证实转移性眼内瘤起源于HCC.
- 观察到炎症细胞,玻璃性不透明性和视网膜血管炎.
- 放射治疗导致眼内炎症在治疗后10个月没有复发.
结论:
- 在出现视力障碍的HCC患者中应考虑眼内转移.
- 玻璃体活检是确认转移性瘤的有价值的诊断工具.
- 放射治疗可以作为转移到眼睛的转移性HCC的有效治疗方法,保护视力.
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