Choroidal Metastasis as the Primary Presentation of Non-Small Cell Lung Cancer: A Case Report

以眼脈絡膜轉移為初始表現之非小細胞肺癌－病例報告

江志騰(Chih-Teng Chiang) ； 施金元(Jin-Yuan Shih) ； 楊泮池(Pan-Chyr Yang)

《胸腔醫學》 20卷6期 (2005/12) Pp. 709-714

https://doi.org/10.29806/TM.200512.0029

摘要

雖然肺癌是眼脈絡膜轉移癌常見的原因之一，但臨床上卻很少見到；而以眼脈絡膜轉移為初始表現之肺癌則更為罕見。我們報告一位67歲的女性肺腺癌病患，以眼脈絡膜轉移為癌症的初始表現。病人接受二個療程的gemcitabine和cisplatin的治療，但臨床病程仍惡化，化學治療處方因而改為docetaxel。病人接受四個療程之後疾病達部份緩解。在診斷肺癌十四個月後病人目前病況穩定神智清楚但右眼已盲。

關鍵字

脈絡膜轉移 ； 肺癌 ； 腺癌 ； 非小細胞肺癌

並列摘要

Although lung cancer is a common cause of choroidal metastasis, choroidal metastasis is seldom encountered in medical clinical practice. We present a 67-year-old female patient with non-small cell lung cancer that initially manifested as choroidal metastasis. The patient received 2 cycles of gemcitabine and cisplatin, but the disease progressed. The chemotherapy regimen was changed to docetaxel for 4 cycles, and a partial response was achieved. Fourteen months after the diagnosis of lung cancer, the patient was mentally alert with fair activity, but blind in the right eye.

並列關鍵字

choroidal metastasis ； lung cancer ； adenocarcinoma ； non-small cell lung cancer