소세포성 폐암과 연관된 망막증 1예
A Case of Cancer Associated Retinopathy with Small Cell Lung Carcinoma
배종오 (예수병원)
조상건 (예수병원)
강상구 (예수병원)
이은영 (예수병원)
김성국 (전북대학교)
김영 (예수병원)
곽진영 (예수병원)
김귀완 (김귀완 내과)
- 다운로드 수
- 조회수
초록
저자들은 시야 결손 등의 시력 변화를 주 증상으로 내원한 환자에서 소세포 폐암과 이로 인한 부종양성 증후군으로 동반된 암 관련 망막증을 진단하고 항암화학요법을 시행하여, 원발 병변의 부분 관해 보였으나, 시야 결손은 회복되지 않았던 1예를 경험하였기에 문헌 고찰과 함께 보고 하는 바이다.
- keywords
- Cancer associated retinopathy, CAR syndrome, Paraneoplastic syndrome, Small cell lung cancer, Cancer associated retinopathy, CAR syndrome, Paraneoplastic syndrome, Small cell lung cancer
Abstract
Cancer associated retinopathy (CAR) syndrome is a very rare ocular manifestation of paraneoplastic syndrome, and is characterized clinically by progressive visual impairment. Immune cross-reactivity between antigens in the cancerous tissue and antigens in the retina may play an important role in its pathogenesis, and most of cases are associated with lung carcinoma, particularly small cell lung cancer. The clinical triad of CAR is described as photosensitivity, ring scotomata, and an attenuated retinal arterial caliber. Here, we report a 61-year old male patient with CAR syndrome, who had small cell lung carcinoma in the stage of limited disease, with a brief review of the relevant literature. (Tuberc Respir Dis 2005; 59: 679-683)
- keywords
- Cancer associated retinopathy, CAR syndrome, Paraneoplastic syndrome, Small cell lung cancer, Cancer associated retinopathy, CAR syndrome, Paraneoplastic syndrome, Small cell lung cancer
참고문헌
(2003) Paraneoplastic retinopathies and optic neuropathies. Surv Ophthalmol,
(1996) Cancer-associated retinopathy with presumed vasculitis,
(Dec) Cancer-associated retinopathy with retinal phlebitis,
(23) Autoimmune basis for visual paraneoplastic syndrome in patients with small-cell lung carcinoma,
(Aug) A clinical triad to diagnose paraneoplastic retinopathy,
(May) Blindness caused by photoreceptor degeneration as a remote effect of cancer,
(Jan) Management management and monitoring of cancer-associated retinopathy,
(2001) Systemic disease and neuro-ophthalmology: annual update 2000,
with antibodies reacting with retinal,
(May) Anti-neurofilament antibodies in the sera of patients with small cell carcinoma of the lung and with visual paraneoplastic syndrome,
(2003) Paraneoplastic syndromes associated with visual loss,
(2002) Antirecoverin antibody in the aqueous humor of a patient with cancer-associated retinopathy,
(2003Sep) Antirecoverin Antireoverin autoantibodies in the patient with non-small cell lung cancer but without cancer-associated retinopathy,
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수