대장샘암종의 눈꺼풀 전이 1예
A Case of Metastatic Colonic Adenocarcinoma of the Eyelid
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목적: 좌측 위눈꺼풀에 전이된 대장샘암종 1예를 경험하였기에 보고하고자 한다. 증례요약: 73세 남자 환자가 10일 전 발견한 좌측 위눈꺼풀의 종괴를 주소로 내원하였다. 과거력상 2년 전 직장암 발생 및 간, 폐전이를 확인하였고 대장암 수술 후 항암치료를 받았다. 안와 전산화단층촬영상 좌측 위눈꺼풀에 10.7×14.7×9.0 mm 크기의 종괴가보였으며 조직검사상 위눈꺼풀에 전이된 대장샘암종으로 확인되었다. 근치적 절제는 불가능하여 용적축소수술을 시행하였으며 보존적 치료를 하면서 경과관찰하였으나 환자는 수술 3주 후 사망하였다. 결론: 눈꺼풀의 전이성 종양은 매우 드물며 특히 전이성 대장샘암종은 아주 드문 질환이다. 악성 종양의 병력이 있는 환자에서 발생한눈꺼풀 병변은 반드시 조직 검사를 통해 정확한 진단을 하고 이에 맞추어 치료 방향을 결정해야 할 것이다.
Abstract
Purpose: To report a metastatic colonic adenocarcinoma in the left upper eyelid. Case summary: A 73-year-old male presented to our clinic with a palpable mass in his left upper eyelid that had appeared 10 days prior. The patient had a history of colon cancer that was diagnosed 2 years previously with liver and lung metastases, and he had underwent colon resection followed by chemotherapy. A 10.7 × 14.7 × 9.0 mm mass was observed on orbital computed tomography and a biopsy confirmed that the mass was a metastatic colonic adenocarcinoma. Because radical resection of the mass could not be performed, a debulking surgery was performed instead. The patient was followed up while receiving conservative treatment, but he died 3 weeks after surgery. Conclusions: Metastatic tumors in the eyelids are very rare and colonic adenocarcinoma metastases in the eyelids are even less common. Thus, a biopsy examination and appropriate treatment should be administered to patients with a history of malignancy who present with an eyelid mass.
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