眼科

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65例眼眶转移性肿瘤原发病灶的回顾性分析

于秀婷1 严欢2 肖利华3   

  1. 1北京美尔目定慧医院眼科100039;2武汉第四医院眼科 430033;3解放军第三医学中心眼科,北京100039
  • 收稿日期:2020-06-17 出版日期:2020-09-25 发布日期:2020-09-25
  • 通讯作者: 肖利华,Email: xiaolihuawj@sina.com

Analysis of primary lesions in 65 patients with orbital metastatic tumors

Yu Xiuting1, Yan Huan2, Xiao Lihua3   

  1. 1Deparment of Ophthalmology, Beijing Mem Dinghui Hospital, Beijing 100039, China; 2 Department of Ophthalmology, Wuhan Fourth Hospital, Wuhan 430033, China; 3 Department of Ophthalmology, The Third Medical Center of PLA General Hospital, Beijing 100039, China
  • Received:2020-06-17 Online:2020-09-25 Published:2020-09-25
  • Contact: Xiao Lihua, Email: xiaolihuawj@sina.com

摘要: 目的 研究眼眶转移性肿瘤的原发疾病种类、临床特征及预后。设计 回顾性病例系列。研究对象 2005-2017年解放军第三医学中心经病理学确诊的眼眶转移性肿瘤患者65例。方法 回顾分析患者的临床资料。主要指标 性别、年龄、眼别、原发肿瘤部位。结果 65例患者中,男性38例。就诊时中位数年龄46岁(0.6~83岁)。右眼26例,左眼29例,双眼10例(神经母细胞瘤3例、白血病3例、乳腺癌3例、胃肠道肿瘤1例)。肿瘤原发部位分别为乳腺12例、肺部11例、白血病10例、肾上腺8例、胃肠道6例、肝脏4例、肾脏2例、胸腺2例,膀胱、前列腺、子宫、关节、皮肤各1例,5例来源不明。成年人原发肿瘤较多的为乳腺癌、肺癌和胃肠道肿瘤。结论 本研究中眼眶转移性肿瘤患者年龄分布较广,成年人前三位原发肿瘤为乳腺癌、肺癌和胃肠道肿瘤。(眼科, 2020, 29: 396-399)

关键词: 眶肿瘤, 转移癌, 预后

Abstract: Objective To study the primary tumor type, clinical features and prognosis of orbital metastatic tumors. Design Retrospective case series. Participants 65 patients with orbital metastatic tumors in the Third Medical Center of PLA General Hospital from 2006 to 2017. Methods The clinical records of the participants were reviewed and analyzed. Main Outcome Measures Sex, age, affected eye, primary tumor location. Results Of the 65 patients, 38 were male. The average age at the time of patient visit was 0.6-83 years-old, median 46 years-old. There were 26 cases of right eye, 29 cases of left eye and 10 cases of both eyes (3 from breast cancer, 3 from neuroblastoma, 3 from leukemia and 1 from gastrointestinal tract tumors). The primary sites of orbital metastatic tumors were breast (12 cases), lung (11 cases), leukemia (10 cases), adrenal gland (8 cases), gastrointestinal tract (6 cases), liver (4 cases), kidney (2 cases), thymus (2 cases), bladder, prostate, uterus, joints, lower limbs (1 case each), and 5 cases of unknown origin. The most common primary tumors in adults were breast cancer, lung cancer and gastrointestinal tumors. Conclusion In this study, the age distribution of orbital metastatic tumors is wide. The top three primary tumors in adults are breast cancer, lung cancer and gastrointestinal tumors. (Ophthalmol CHN, 2020, 29: 396-399)

Key words: orbital tumors, metastatic cancer, prognosis