胃癌眼部转移临床特征分析.pdfVIP

.365. 胃肠病学2014 年第 19 卷第6 期 胃癌眼部转移临床特征分析 王颖.袁昕朱晓宇 江苏省扬州市第一人民医院肿瘤科(225000) 背景:胃癌常见远处转移部位为肝脏、肺、骨等，眼部转移相对罕见。目的:分析胃癌眼部转移的临床特征，提 高对这一罕见转移的认识。方法:纳入2 例在扬州市第一人民医院经手术确诊为胃癌眼部转移的病例，对其临床 资料进行回顾性分析。结果:2 例患者均为老年男性，单眼患病，原发肿瘤均为胃腺癌。 2 例患者均表现为右眼疼痛 和视力障碍，CT 检查发现右眼占位，眼底检查 1 例发现眼底窥不清，1 例发现颖下方视网膜青灰色隆起。 1 例患者未 行胃癌根治术，转移时间为胃癌确诊后2 个月，另一例转移时间为胃癌根治术后 10 个月。 2 例患者均行眼部手术，术 后病理为转移性腺癌，未行放化疗，于术后 1 年内死亡。结论:胃癌眼部转移中右侧转移较少见。本组2 例患者出现 眼部转移症状至死亡均不足一年，提示转移癌恶性程度高。其治疗宣采取眼部局部治疗联合全身化疗。 关键词 胃肿瘤; 肿瘤转移; 眼部转移d性肿瘤; 回顾性研究 CUnical Ch缸acteristics of Ocular Metastasis of Gastric Cancer WANG 盯晤， YUAN Xin , ZHU Xiaoyu. Department of Oncology , Yangzhou No. 1 People s Hospital , Ya咆zhou ， Jiangsu Province (225仪均) Background: Gastric cancer most often spreads to the liver , lung and bones , oc时ar metastatic tumor is considerably r缸e. Aims: To analyze the clinical characteristics of ∞ul缸 metastasis of gastric cancer for enhancing the recognition of this condition. Meth创Is: A retrospective study was conducted in 2 cases of ∞ular metastasis of gastric cancer proved by ophthalmologic operation at Yangzhou No. 1 People s Hospital. Results: These two cases were elderly male with unilateral ocular metastasis of gastric adenocarcinoma , both of them presented with pain and impairment of vision in right eye. Occupying lesion in right eye was demonstrated by CT in both cases. Fundus exarnÏnation of the affected eye revealed unclear fundus in one case and retinal gray bulge beneath the temple in another c植e. Metastatic symptom occ山Ted 2 months after diagnosis of gastric cancer in one c困e with no radical surge巧 perfo口ned and