CAJ | 학술논문

目的总结葡萄膜转移癌的临床及影像学特点.方法回顾性分析12例葡萄膜转移癌病例,其中11例脉络膜转移癌,1例虹膜转移癌.结果 12例中,男性5例,女性7例.6例原发于肺癌,3例原发于乳腺癌,1例原发于胃癌,2例不明原因.主要症状为出现突然视力下降.11例脉络膜转移,病变均位于眼底后极部.B超检查、CT检查为眼球后极部呈扁平状或多发性较小结节状;MRI检查为T1WI呈等或高于玻璃体的信号,在T2WI中呈低信号.结论对于不典型病例,与其他脉络膜占位性病变难区分的时候,应注意其眼底典型的表现以及影像学的特点,减少误诊、漏诊.
목적 총결포도막전이암적림상급영상학특점.방법 회고성분석12례포도막전이암병례,기중11례맥락막전이암,1례홍막전이암.결과 12례중,남성5례,녀성7례.6례원발우폐암,3례원발우유선암,1례원발우위암,2례불명원인.주요증상위출현돌연시력하강.11례맥락막전이,병변균위우안저후겁부.B초검사、CT검사위안구후겁부정편평상혹다발성교소결절상;MRI검사위T1WI정등혹고우파리체적신호,재T2WI중정저신호.결론 대우불전형병례,여기타맥락막점위성병변난구분적시후,응주의기안저전형적표현이급영상학적특점,감소오진、루진.
Objective The reported incidence of metastatic uveal tumors has been increasing these years. The aim of this study is to analyze the clinical and imaging features of those tumors. Methods The records of twelve patients with uveal metastasis were reviewed retrospectively. One patient involved the his,while eleven patients involved the choroids. Results Twelve patients were diagnosed. The metastases came from a primary cancer were as the follows: the lung in six(50%) ,the breast in three(25%) ,the stomach in one (8.3%),and unknown in two (16.7%). The most common symptom was blurred vision. Eleven choroidal metastases were located at posterior. B scan and CT examination found flat or multiple masses. MRI examina-tion found high signal intensities on T1W and low signal intensifies on T2W. Conclusion The diagnosis of the typical cases is not very difficult. In order to decrease misdiagnosis and missed diagnosis,the appearance of fundus and the character of the imaging should be pay attention to when other cases of choroidal occupying le-sions showing untypical imaging contrast.