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[Gastric cancer 445]
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안구통으로 검사하여 위암 안구 전이가 발견되었습니다. 아쉽게도 간 전이와 십이지장 전이도 함께 진단되었습니다.
안과 검사 소견을 포함하여 문헌보고를 하였습니다 (Clin Endosc 2017).
드물지만 문헌에서는 종종 보고되고 있었습니다. 안구 전이는 혈액공급이 풍부한 choroid로 전이되는 경우가 많습니다. 가장 흔한 원인은 유방암과 폐암이라고 알려져 있는데 위암도 종종 진단된다고 합니다.
문헌에 보고된 eyelid 전이 증례를 소개합니다.
A 75-year-old man was admitted with a mass on the right eyelid that had been present for 2 months and had enlarged over the previous 2 weeks. The patient denied a history of tuberculosis or regional insect bite. He had undergone a radical total gastrectomy 8 months previously for gastric cardia cancer. The pathological results suggested highly differentiated adenocarcinoma and partial mucinous adenocarcinoma (T3 N1 M0). He refused antitumor therapy after surgery. Physical examination revealed a mass (2.0 × 2.0 cm) on the upper right eyelid, which interfered with its movement (a). No nodules were detected in the abdomen or on the clavicle. Auxiliary examinations found that tumor markers were normal. Orbital computed tomography (CT) suggested a subcutaneous tumor on the right eyelid (b); and abdominal CT was normal. Pathological results of a puncture biopsy indicated metastatic adenocarcinoma. The tumor was surgically removed, and metastatic adenocarcinoma was confirmed by postoperative pathology. The patient refused further treatment and did not experience recurrence in 3 months of follow-up. (Am J Gastroenterol 2017;112:677)
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.