Superficial temporal artery biopsy diagnostic for lung carcinoma
| Autor: | Ramin Monshizadeh, Homayoun Tabandeh, M. Tariq Bhatti, Jaime Furman, Shailesh K Gupta |
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| Rok vydání: | 2001 |
| Předmět: |
Male
Pathology medicine.medical_specialty Lung Neoplasms Visual acuity genetic structures Biopsy Vision Disorders Visual Acuity Lumen (anatomy) Adenocarcinoma Malignancy Optic neuropathy medicine.artery Optic Nerve Diseases medicine Humans Posterior ischemic optic neuropathy Aged medicine.diagnostic_test business.industry Neoplastic Cells Circulating medicine.disease Superficial temporal artery eye diseases Temporal Arteries Ophthalmology Optic nerve sense organs medicine.symptom business |
| Zdroj: | American Journal of Ophthalmology. 132:135-138 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/s0002-9394(00)00953-3 |
| Popis: | PURPOSE: To report a unique finding of metastatic tumor cells in the lumen of a superficial temporal artery biopsy specimen in a patient with severe visual loss and optic neuropathy. METHODS: Case report. RESULTS: A 69-year-old man presented with anorexia, pancranial headaches, and acute unilateral visual loss. Ophthalmic examination showed a visual acuity of no light perception and an amaurotic pupil in the left eye. Fundus examination was normal. A superficial temporal artery biopsy, performed for presumed arteritic posterior ischemic optic neuropathy, demonstrated intraluminal cells with irregular nuclei and prominent nucleoli suggestive of metastatic malignancy. Further systemic evaluation uncovered a poorly differentiated adenocarcinoma of the lung with intravascular infiltration and multiple distant metastases. CONCLUSION: Extensive systemic intravascular tumor embolization may be associated with optic neuropathy. |
| Databáze: | OpenAIRE |
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