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肺癌眼脉络膜转移的临床分析

于涛 李建业 蒋俭 张云峰 李飞 于震

实用肿瘤杂志2012,Vol.27Issue(2):145-148,4.
实用肿瘤杂志2012,Vol.27Issue(2):145-148,4.

肺癌眼脉络膜转移的临床分析

Choroidal metastasis from lung cancer

于涛 1李建业 1蒋俭 1张云峰 1李飞 1于震1

作者信息

  • 1. 首都医科大学附属北京同仁医院胸外科,北京100730
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摘要

Abstract

Objective To review the clinical characteristics, diagnosis and the treatment of choroidal metastasis from lung cancer. Methods Twenty-one cases of choroidal metastasis from lung cancer were collected from Jaunaryl987 to December 2010 and the clinical data were analyzed retrospectively. Results Among 21 cases,the pulmonary symptom initially appeared in7,for rest cases the initial symptoms were found in eyes. The primary lesions were located in left lung in 12 cases and right lung in 9 cases. Eight cases were diagnosed as central lung cancer and 13 cases as peripheral lung cancer. Ocular lesions were found in single eye in 20 cases and both eyes in 1 case. Totally 22 eyes had metastatic lesions, 13 of which were left eyes and 9 right eyes. The ocular lesions were found in posterior pole in 14 cases, juxtapapillary in 5 cases and choroidal periphery in 3 cases. Pathological examination identified adenocarcinoma in 13 cases,small-cell carcinoma in 4,squamous cell carcinoma in 3 and of large-cell carcinoma in one. Eighteen cases were accompanied with tumor metastasis outside the eyes. For 19 followed up cases the median survival time was 12.0 months; the 1-year and 2-year survival rates were 44. 7% and 6. 5% respectively. Conclusion The choroidal metastasis from lung cancer is a rare disease and proper treatment can prolong the survival time,release the symptom and improve the life quality of patients.

关键词

肺肿瘤/病理学/脉络膜肿瘤/病理学/脉络膜肿瘤/诊断/脉络膜肿瘤/继发性/肿瘤转移/回顾性研究

Key words

lung neoplasms/pathology/ choroid neoplasms/pathology/ choroid neoplasms/diagnosis/ choroid neoplasms/ secondary/ neoplasm metastasis/ retrospective studies

分类

医药卫生

引用本文复制引用

于涛,李建业,蒋俭,张云峰,李飞,于震..肺癌眼脉络膜转移的临床分析[J].实用肿瘤杂志,2012,27(2):145-148,4.

实用肿瘤杂志

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1001-1692

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