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題名:TRILATERAL RETINOBLASTOMA--A CASE REPORT OF RECONSTRUCTION     (14點)
雙眼視網膜母細胞瘤合併松果體母細胞瘤--重建病例報告
著者:Yun-Ting Lou(羅云婷) ;Cheng-Hsien Chang(張丞賢) ;Chang-Ling Chen(陳昶齡) ;Liao Yu Mei(廖優美) ;Kai-Chun Cheng(鄭凱駿) ;Shiu-Liang Hsiu(徐旭亮) ;Ming-Chiang Kang(康明強)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Trilateral Retinoblastoma ; Hydrogel Implant
刊名:中華民國眼科醫學會雜誌
卷期:47卷3期(2008.9)
頁碼:228-234
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

雙眼視網膜母細胞瘤合併松果體母細胞瘤是一 種罕見而具高致死率的小兒惡性腫瘤。我們在此報告 一位罹患此症且延誤治療之病患。一位十八個月大的 女嬰因左側突眼及右倒白瞳至本院求診。該病患於二 個月大時已診斷出為視網膜胚母細胞瘤,惟家屬拒絕 進一步治療直到來本院求診。藉由電腦斷層檢查,我 們發現雙側眼部腫瘤併左眼外侵犯;核磁共振檢查更 察覺松果腺有一腫瘤。該員隨後接受右眼摘除合併未包埋之珊瑚義眼置入及左眼眼窩翩除。術後病理報告 証實確為視網膜母細胞瘤,右眼視神經未受侵犯但左 眼視神經及眼周組織已受蔓延。術後四個月左眼窩骨 裸面已覆蓋新生肉芽組織,我們在未包覆及縫合步驟 下直接置入水凝膠植入物。此植入物於眼窩內逐漸擴 展填充,我們隨後順利置入義眼。此位病患接受化療 及放射治療並得到初步緩解;惟仍於兩年後因腫瘤顱 內轉移及敗血症而死亡。
Trilateral retinoblastoma is a rare malignancy of childhood with high mortality. We repo付ed such a case with delayed treatment. An 18-month old female baby presented with left eye proptosis and right eye leukocoria. Retinoblastoma has been informed to her parents at the age 2 months; however, her family refused further managements. Orbit CT showed bilateral retinoblastoma with extraocular extension in left orbit. MRI of brain revealed a tumor mass in pineal gland. Her right eye was enulcleated with unwrapped hydroxyapetite implantation (size 20 mm) and the left orbit was exenterated. Pathologic examination confirmed a case of retinoblastoma. On the right eye, the optic nerve was not involved and the tumor was confined in the eyeball. On the left eye, the tumor cells extended out into the optic nerve and orbital tissue. Four months after exenteration when the bone surface has been covered with granulation tissue, hydrogel implant (Osmed™ Hydrogel Orbit Expanders) was inserted in her left orbital socket without any wrapping or sutures. The hydrogel implant gradually expanded in the orbit and prosthesis was placed. The patient underwent chemotherapy and radiotherapy to achieve a tempora叩remission. However, the patient deceased in a follow-up of 2 years due to tumor invasion into the brain and sepsis.


    

本卷期目次
中華民國眼科醫學會雜誌 47卷3期 (2008.9)
青光眼病人的生活品質測量/ 林人傑尤之浩
INFLUENCE OF PROTEIN AND IMMUNOGLOBULIN A DEPOSITION ON FEMALE PATIENT COMFORT AND SATISFACTION: COMPARISON OF CONVENTIONAL AND 2-WEEK DISPOSABLE SOFT CONTACT LENSES/ Chih-Hsien HsiaoPo-Liang ChenJiann-Torng ChenDa-Wen Lu
UNI-HAPTIC SINGLE-PIECE ACRYSOF FOLDABLE INTRAOCULAR LENS IN THE CAPSULAR BAG WITH GOOD STABILITY: ONE CASE REPORT/ Hsiu-Mei HuangChih-Hsin Chen
UNILATERAL MACULAR HYPOPYON AND BILATERAL OPTIC PERINEURITIS FROM SECONDARY SYPHILIS--CASE REPORT/ Li-Fang TsengJiunn-Feng HwangSan-Ni Chen
TRILATERAL RETINOBLASTOMA--A CASE REPORT OF RECONSTRUCTION/ Yun-Ting LouCheng-Hsien ChangChang-Ling ChenLiao Yu MeiKai-Chun ChengShiu-Liang HsiuMing-Chiang Kang
DELAYED ONSET CENTRAL RETINAL VEIN OCCLUSION (CRVO) IN TRAUMATIC CAROTID CAVERNOUS SINUS FISTULA (CCSF)--A CASE REPORT/ Ching-Lung ChenYuan-Hsiung TsaiPey-Jane WuTsung-Hsien ChouChien-Hsiung Lai
SCEDOSPORIUM APIOSPERMUM KERATITIS--A CASE REPORT/ Wen-Jui ChangChing-Hsi HsiaoHui-Kang Ma(David)Yeong-Fong Chen
WIDEN THE ANTERIOR CHAMBER ANGLES OF A PRIMARY ANGLE-CLOSURE PATIENT WITH ARGON LASER PERIPHERAL IRIDOPLASTY--A CASE REPORT/ Chao-Yu HuLin-Chin Mai(Elsa)Shu-Wen Chang
PAPILLEDEMA CAUSED BY CRYPTOCOCCAL MENINGITIS IN TWO IMMNO-COMPETENT HOSTS/ Pai-Huei PengCheng-Kuo Cheng
BETTER LOCALIZATION OF PERIORBITAL OR INTRAORBITAL FOREIGN BODY WITH RECONSTRUCTED THREE-DIMENSIONAL COMPUTER TOMOGRAPHY--CASE REPORT/ Tsung-Hsien ChouHsu-Huei WengChien-Hsiung LaiYih-Shiou Hwang
SECONDARY GLAUCOMA ASSOCIATED WITH AN OCCULT METALLIC FOREIGN BODY AT THE ANTERIOR CHAMBER ANGLE SIMULATING AN IRIS TUMOR/ Yi-Hsuan WeiJehn-Yu HuangShu-Lang LiaoTsing-Hong Wang
TOXIC KERATOPATHY ASSOCIATED WITH ABUSE OF MULTIPLE EYE DROPS --A CASE REPORT/ Tsui-Kang HsuWen-Ming HsuKo-Hua ChenShui-Mei Lee
以廣泛性眼球摘除術來治療眼瞼皮脂腺癌--病例報告/ 王瀚生高啟祥柯美蘭
巴里諾氏眼淋巴腺症候群--病例報告/ 邱文智羅伍娉王永興陳垚生
 
   
 
   

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