Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma: case report.

Y. C. Chen, C. Y. Li, Y. H. Kuo, J. D. Ho, S. N. Chen

研究成果: 書貢獻/報告類型章節

7 引文 (Scopus)

摘要

Bilateral diffuse uveal melanocytic proliferation (BDUMP) associated with systemic carcinoma is a rare paraneoplastic syndrome. It was reported to be associated with primary carcinomas of the lung, ovary, colon, gall bladder, esophagus, pancreas, uterus, and cervix. We report a case of BDUMP that occurred in a woman with cervical leiomyoma. The 79-year-old woman experienced bilateral progressive visual loss to hand motion within 2 weeks. Fundus examination showed bilateral exudative retinal detachment and multiple oval red patches. Echographic study showed diffuse thickening of the uveal tracts. Fluorescein angiography showed multiple patches of window defect without late leakage, which was correlated with the oval red patches. After screening for tumor markers and meticulous examinations, an elevated serum level of CA-125 was noted. The only neoplasm found in this patient was a cervical leiomyoma, which has never been reported to be associated with BDUMP. One month after the onset of symptoms, accidental head injury due to poor vision led to right parietal intracerebral hemorrhage and left hemiplegia. Prompt diagnosis of this paraneoplastic syndrome is important to discover the underlying malignancy in patients with no history of cancer. For those cases without malignant neoplasm, attention should be directed to the disability caused by the severe visual loss, which led to accidental head injury and intracerebral hemorrhage in this case.
原文英語
主出版物標題Chang Gung medical journal
頁面274-279
頁數6
24
版本4
出版狀態已發佈 - 四月 2001
對外發佈Yes

指紋

Leiomyoma
Paraneoplastic Syndromes
Cerebral Hemorrhage
Craniocerebral Trauma
Neoplasms
Carcinoma
Hemiplegia
Fluorescein Angiography
Retinal Detachment
Tumor Biomarkers
Cervix Uteri
Esophagus
Pancreas
Ovary
Colon
Urinary Bladder
Hand
Lung
Serum

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Chen, Y. C., Li, C. Y., Kuo, Y. H., Ho, J. D., & Chen, S. N. (2001). Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma: case report.Chang Gung medical journal (4 編輯, 卷 24, 頁 274-279)

Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma : case report. / Chen, Y. C.; Li, C. Y.; Kuo, Y. H.; Ho, J. D.; Chen, S. N.

Chang Gung medical journal. 卷 24 4. 編輯 2001. p. 274-279.

研究成果: 書貢獻/報告類型章節

Chen, YC, Li, CY, Kuo, YH, Ho, JD & Chen, SN 2001, Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma: case report.Chang Gung medical journal. 4 edn, 卷 24, 頁 274-279.
Chen YC, Li CY, Kuo YH, Ho JD, Chen SN. Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma: case report. 於 Chang Gung medical journal. 4 編輯 卷 24. 2001. p. 274-279
Chen, Y. C. ; Li, C. Y. ; Kuo, Y. H. ; Ho, J. D. ; Chen, S. N. / Bilateral diffuse uveal melanocytic proliferation in a woman with uterine leiomyoma : case report. Chang Gung medical journal. 卷 24 4. 編輯 2001. 頁 274-279
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