1.中国中医科学院广安门医院,北京市西城区北线阁5号,100053
2.北京中医药大学研究生院
3.广西壮族自治区玉林市红十字会医院
drzhangge@163.com
收稿:2022-11-25,
修回:2023-05-18,
纸质出版:2023-08-02
移动端阅览
秦晓艳,王妍,陈金英等.中西医结合治疗晚期肺腺癌脉络膜转移1例[J].中医杂志,2023,64(15):1616-1620.
QIN Xiaoyan,WANG Yan,CHEN Jinying,et al.Choroidal Metastasis of Advanced Lung Adenocarcinoma Treated by Integrated Traditional Chinese and Western Medicine:A Case Report[J].Journal of Traditional Chinese Medicine,2023,64(15):1616-1620.
秦晓艳,王妍,陈金英等.中西医结合治疗晚期肺腺癌脉络膜转移1例[J].中医杂志,2023,64(15):1616-1620. DOI: 10.13288/j.11-2166/r.2023.15.019.
QIN Xiaoyan,WANG Yan,CHEN Jinying,et al.Choroidal Metastasis of Advanced Lung Adenocarcinoma Treated by Integrated Traditional Chinese and Western Medicine:A Case Report[J].Journal of Traditional Chinese Medicine,2023,64(15):1616-1620. DOI: 10.13288/j.11-2166/r.2023.15.019.
肺腺癌脉络膜转移在临床上比较少见,对患者的视力产生极大影响且颇具治疗难度。报告中西医结合治疗晚期肺腺癌脉络膜转移病例1例,采用培美曲塞+顺铂方案化疗的同时,治以益气养阴、化痰祛瘀为法,治疗期间据证调方,化疗6个周期视物遮挡感基本消失,视力较前明显改善。
Choroidal metastasis of lung adenocarcinoma is relatively rare in clinical practice, which has a great impact on the vision of patients and is quite difficult to treat. This paper reported a case of choroidal metastasis of advanced lung adenocarcinoma treated by integrated traditional Chinese and western medicine. Besides pemetrexed plus cisplatin chemotherapy, Chinese medicine was used with the method of boosting
qi
and nourishing
yin
, dissolving phlegm and dispelling stasis. The prescription was adjusted according to the syndromes, and after six cycles of chemotherapy, the sense of visual obstruction basically disappeared, and the visual acuity improved significantly.
SUNG H , FERLAY J , SIEGEL RL , et al . Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin , 2021 , 71 ( 3 ): 209 - 249 .
郑荣寿 , 张思维 , 孙可欣 , 等 . 2016年中国恶性肿瘤流行情况分析 [J]. 中华肿瘤杂志 , 2023 , 45 ( 3 ): 212 - 220 .
SIEGEL RL , MILLER KD , FUCHS HE , et al . Cancer statistics,2022 [J]. CA Cancer J Clin , 2022 , 72 ( 1 ): 7 - 33 .
HOANG A , KHINE KT , KNIGHT OJ , et al . A rare ocular presentation of metastatic lung cancer: unilateral anterior chamber angle, bilateral choroidal, and multiple intracranial metastases [J]. J Glaucoma , 2017 , 26 ( 2 ): e93 - e95 .
余欢 , 李庆云 . 肺癌脉络膜转移局部治疗的研究进展 [J]. 上海交通大学学报(医学版) , 2018 , 38 ( 2 ): 233 - 236 .
国家卫生健康委办公厅 . 原发性肺癌诊疗指南(2022年版) [J]. 协和医学杂志 , 2022 , 4 ( 13 ): 549 - 570 .
彭清华 . 中西医结合眼科学 [M]. 北京 : 人民卫生出版社 , 2020 : 2609 - 2612 .
KONSTANTINIDIS L , DAMATO B . Intraocular metastases-a review [J]. Asia Pac J Ophthalmol (Phila) , 2017 , 6 ( 2 ): 208 - 214 .
戴建华 , 姜海涛 , 李国仁 . 我国肺癌脉络膜转移的现状和研究进展 [J]. 中华胸心血管外科杂志 , 2018 , 34 ( 12 ): 754 - 759 .
王晓鹏 , 颜建华 . 36例葡萄膜转移癌的临床表现和影像检查特征 [J]. 中华眼底病杂志 , 2012 , 28 ( 6 ): 577 - 580 .
KREUSEL KM , BECHRAKIS NE , WIEGEL T , et al . Incidence and clinical characteristics of symptomatic choroidal metastasis from lung cancer [J]. Acta Ophthalmol , 2008 , 86 ( 5 ): 515 - 519 .
王伟伟 , 叶俊杰 , 贾会云 , 等 . 脉络膜转移癌的眼底表现 [J]. 眼科研究 , 2010 , 10 ( 28 ): 959 - 963 .
KREUSEL KM , BORNFELD N , HOSTEN N , et al . So-litary choroidal metastasis as the first sign of metastatic lung carcinoid [J]. Arch Ophthalmol , 1998 , 116 ( 10 ): 1396 - 1397 .
刘家琦 , 李凤鸣 . 实用眼科学 [M]. 3版 . 北京 : 人民卫生出版社 , 2010 : 319 - 320 .
FERRY AP , FONT RL . Carcinoma metastatic to the eye and orbit. I. A clinicopathologic study of 227 cases [J]. Arch Ophthalmol , 1974 , 92 ( 4 ): 276 - 286 .
张双梅 . 脉络膜转移癌的研究进展 [D]. 石家庄 : 河北医科大学 , 2017 .
林洪生 . 恶性肿瘤中医诊疗指南 [M]. 北京 : 人民卫生出版社 , 2014 : 249 - 250 .
中国临床肿瘤学会 . 非小细胞癌诊疗指南 [M]. 北京 : 人民卫生出版社 , 2022 : 26 .
林家兴 , 李慧杰 , 李秀荣 . 基于“顾护脾胃”论治化疗相关性呕吐 [J]. 中国中西医结合消化杂志 , 2022 , 30 ( 10 ): 739 - 742 .
汪英 , 李锡春 . 恶性肿瘤放疗、化疗后的中医药应用体会 [J]. 世界中医药 , 2009 , 4 ( 2 ): 97 - 98 .
0
浏览量
1
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号