眼腫瘍、眼新生物
- 関
- eye cancer
WordNet
- look at (同)eyeball
- a small hole or loop (as in a needle); "the thread wouldnt go through the eye"
- the organ of sight (同)oculus, optic
- attention to what is seen; "he tried to catch her eye"
- good discernment (either visually or as if visually); "she has an eye for fresh talent"; "he has an artists eye"
- having an eye or eyes or eyelike feature especially as specified; often used in combination; "a peacocks eyed feathers"; "red-eyed"
- the base of the natural system of logarithms; approximately equal to 2.718282...
- opinion or judgment; "in the eyes of the law"; "I was wrong in her eyes"
PrepTutorEJDIC
- 〈C〉(人・動物の器官としての)『目』 / 〈C〉(まぶた・まつ毛・まゆ毛などを含めて,外側からみえる)『目』,目の周り / 〈C〉(目の)虹彩 / 〈C〉『視力』,視覚 / 〈C〉《単数形で》『視線』,まなざし / 〈C〉《しばしば複数形で》警戒(観察,監視)の目 / 〈C〉《通例単数形で》(…に対する)鑑識眼,物を見る目,(…を)見分ける力《+『for』+『名』》 / 〈C〉《しばしば複数形で》物の見方;観点 / 〈C〉目に似たようなもの(じゃがいもの芽・クジャクの羽の眼状の点など) / 〈C〉針の目,めど / 〈C〉(かぎ・ホックの)受け / 〈C〉台風の目 / (好奇・疑いなどの目で)…‘を'じろじろ見る,注意して見る
- (体内にできる)新生物;腫瘍(しゅよう)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/01/11 15:53:17」(JST)
[Wiki en表示]
Eye neoplasm |
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Melanotic sarcoma through the conjunctiva and sclerotic along the lower border of the cornea. |
Classification and external resources |
Specialty |
Oncology |
ICD-10 |
C69 |
ICD-9-CM |
190 |
MeSH |
D005134 |
[edit on Wikidata]
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Eye neoplasms can affect all parts of the eye, and can be a benign tumor or a malignant tumor (cancer). Eye cancers can be primary (starts within the eye) or metastatic cancer (spread to the eye from another organ). The two most common cancers that spread to the eye from another organ are breast cancer and lung cancer. Other less common sites of origin include the prostate, kidney, thyroid, skin, colon and blood or bone marrow.
Contents
- 1 Types
- 1.1 Malignant
- 1.1.1 Adults
- 1.1.2 Children
- 1.2 Benign
- 2 Signs and symptoms
- 3 Treatment
- 4 Classification
- 4.1 Choroidal tumors
- 4.2 Conjunctival tumors
- 5 Ocular oncology
- 6 See also
- 7 References
- 8 External links
Types
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Tumors in the eye and orbit can be benign like dermoid cysts, or malignant like rhabdomyosarcoma and retinoblastoma.
Malignant
The most common eyelid tumor is called basal cell carcinoma. This tumor can grow around the eye but rarely spreads to other parts of the body. Other types of common eyelid cancers include squamous carcinoma, sebaceous carcinoma and malignant melanoma. The most common orbital malignancy is orbital lymphoma. This tumor can be diagnosed by biopsy with histopathologic and immunohistochemical analysis. Most patients with orbital lymphoma can be offered chemotherapy or radiation therapy.
Adults
- The most common malignant primary intraocular tumor in adults is uveal melanoma. These tumors can occur in the choroid, iris and ciliary body. The latter are sometimes called iris or ciliary body melanoma.
- The next most common is primary intraocular lymphoma (PIOL) which is usually non-Hodgkin’s, large cell lymphoma of the B-cell type, although T cell lymphomas have also been described.
Children
- The most common malignant intraocular tumor in children is retinoblastoma, affecting approximately 325 children per year in North America. Early detection has allowed for cures exceeding 95%.[1]
- The second most common is medulloepithelioma (also called diktyoma) which can occur in the ciliary body and the uvea of the eye.
Benign
Orbital dermoid cysts are benign choristomas which are typically found at the junction of sutures, most commonly at the fronto-zygomatic suture. Large deep orbital dermoid cysts can cause pressure effects on the muscles and optic nerve, leading to diplopia and loss of vision.
Signs and symptoms
- Melanomas (choroidal, ciliary body and uveal) - In the early stages there may be no symptoms (the person does not know there is a tumor until an ophthalmologist or optometrist looks into the eye with an ophthalmoscope during a routine test). As the tumor grows, symptoms can be blurred vision, decreased vision, double vision, eventual vision loss and if they continue to grow the tumor can break past the retina causing retinal detachment. Sometimes the tumor can be visible through the pupil.
- A nevus is a benign, freckle in the eye. These should be checked out and regular checks on the eye done to ensure it hasn't turned into a melanoma.
- Iris and conjuctival tumors (melanomas) - Present as a dark spot. Any spot which continues to grow on the iris and the conjunctiva should be checked out.
- Retinoblastoma - Strabismus (crossed eyes), a whitish or yellowish glow through the pupil, decreasing/loss of vision, sometimes the eye may be red and painful. Retinoblastoma can occur in one or both eyes. This tumor occurs in babies and young children. It is called RB for short. Check photographs, normal healthy eyes would have the red eye reflex, but a white/yellow dot instead of the red eye reflex can indicate a tumor or some other kind of eye disease. Any photos of a child/children which have a white/yellow dot instead of the red eye reflex should be evaluated by an eye doctor.
Treatment
- Laser therapy
- Plaque therapy
- Radiotherapy - The ophthalmologist decides in conjunction with the radiation oncologist which type of radiation therapy is most suitable, based on size and location of the tumour. Today, modern radiation treatment modalities, as proton therapy, are likely to be chosen, for providing superior accuracy in dose delivery, helping to spare healthy tissue and the sensible optic nerves.[2]
- Enucleation of the Eye - Removal of the eye, but the muscles and eyelids are left intact. An implant is inserted, then the person wears a conformer shield and later the person will have their prosthesis made and fitted (the prosthesis is made by someone called an ocularist and is made to look like their real eye)
- Evisceration - Removal of the eye contents, leaving the sclera or the white part of the eye.
- Exenteration - Removal of the eye, all orbital contents, which can involve the eyelids as well. A special prosthesis is made to cover the defect and improve appearance.
- Iridectomy - Removal of the affected piece of the iris
- Choroidectomy - Removal of the choroid layer (the vascular tissue sandwiched between the sclera and the retina)
- Iridocyclectomy - Removal of the iris plus the ciliary body muscle.
- Eyewall resection - Cutting into the eye to remove a tumor e.g. melanoma. This operation can be quite difficult to perform.
- Chemotherapy
Classification
Choroidal tumors
- Choroidal hemangioma[3]
- Choroidal melanoma[4]
- Choroidal metastasis[5]
- Choroidal nevus[6]
- Choroidal osteoma[7]
- Ciliary body melanoma[8]
- The nevus of Ota[9]
Conjunctival tumors
Advanced conjunctival carcinoma protruding through the palpebral fissure.
- Conjunctival Kaposi's sarcoma[10]
- Epibulbar dermoid[11]
- Malignant conjunctival tumors[12]
- Lymphoma of the conjunctiva[13]
- Melanoma and PAM with atypia[14]
- Pigmented conjunctival tumors[15]
- Pingueculum[16]
- Pterygium[17]
- Squamous carcinoma and intraepithelial neoplasia of the conjunctiva[18]
Ocular oncology
Ocular oncology is the branch of medicine dealing with tumors relating to the eye and its adnexa.
Ocular oncology takes into consideration that the primary requirement for patients is preservation of life by removal of the tumor, along with best efforts directed at preservation of useful vision, followed by cosmetic appearance. The treatment of ocular tumors is generally a multi-specialty effort, requiring coordination between the ophthalmologist, medical oncologist, radiation specialist, head & neck surgeon/ENT surgeon, pediatrician/internal medicine/hospitalist and a multidisciplinary team of support staff and nurses.
See also
- List of eye diseases and disorders
References
- ^ Kim JW, Abramson DH, Dunkel IJ (2007). "Current management strategies for intraocular retinoblastoma". Drugs. 67 (15): 2173–2185. doi:10.2165/00003495-200767150-00005. PMID 17927283.
- ^ Boris Peter Selby, et al. (2007) Pose estimation of eyes for particle beam treatment of tumors. In: Medical Image Processing 2007. Algorithms - Systems - Applications; Springer Press Berlin, Heidelberg
- ^ "Choroidal Hemangioma - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Choroidal Melanoma - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Choroidal Metastasis - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Choroidal Nevus - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Choroidal Osteoma - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Ciliary Body Melanoma - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "The Nevus of Ota - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Conjunctival Kaposi's Sarcoma - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Epibulbar Dermoid - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "General Information: Malignant Conjunctival Tumors - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Lymphoma of the Conjunctiva - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Melanoma and PAM with Atypia - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Pigmented Conjunctival Tumors - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Pingueculum - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Pterygium - The Eye Cancer Network". Retrieved 2010-03-10.
- ^ "Squamous Carcinoma and Intraepithelial Neoplasia of the Conjunctiva - The Eye Cancer Network". Retrieved 2010-03-10.
External links
- The Tumori Foundation
- The See A Cure Foundation. A grassroots, patient-based, eye cancer nonprofit
- Shields and Shields Ocular Oncology Service, Wills Eye Hospital, Philadelphia, PA USA
- The Ocular Oncology Service
- The Eye Cancer Network
- Cancer.Net: Eye Cancer
- Eye Cancer - Medline Plus
- Ocular Oncology - Bascom Palmer Eye Institute
- William Charles Caccamise Sr. "A photographic cache of eyelid and conjunctival malignant lesions". EyeRounds.org.
- EyeMelanoma.org
Specific types
- Cancer.Net: Eyelid Cancer
- DeAngelis, D; Hurwitz, J. "Lacrimal Gland Tumors." eMedicine.com. June 8, 2005.
- Cancer.Net: Lacrimal Gland Tumor
- Cancer.Net: Retinoblastoma, Childhood
Eye neoplasm (C69/D31, 190/224)
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Melanoma |
- Uveal melanoma
- Ciliary body melanoma
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Other |
- Medulloepithelioma/Diktyoma
- Intraocular lymphoma
- Orbital lymphoma
- Optic nerve sheath meningioma
- Optic nerve tumor
- Retinoblastoma
- Schwannoma
- Visual pathway glioma
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Orbital Disease in Neuro-Ophthalmology.
- Chang JR1, Gruener AM1, McCulley TJ2.
- Neurologic clinics.Neurol Clin.2017 Feb;35(1):125-144. doi: 10.1016/j.ncl.2016.08.011.
- Many abnormalities of the orbit present with neuro-ophthalmic findings, such as impaired ocular motility or alignment, and sensory changes, including optic neuropathy. Comprehensive coverage of all orbital diseases is beyond the scope of this article. This review focuses on diagnosis and management
- PMID 27886890
- Exfoliative Cytology in the Diagnosis of Ocular Surface Squamous Neoplasms.
- Kayat KV1, Correa Dantas PE, Felberg S, Galvão MA, Saieg MA.
- Cornea.Cornea.2017 Jan;36(1):127-130.
- PURPOSE: Surface tumors of the eye comprise an ample spectrum of diseases with various clinical manifestations. Diagnosis has been traditionally achieved through core biopsies, but cytology is an innovative, fast, and minimally invasive method. The objective of this study was to investigate the use
- PMID 27661075
- The follicular variant of papillary thyroid cancer and noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP).
- Scharpf J1, Kamani D, Sadow PM, Randolph GW.
- Current opinion in oncology.Curr Opin Oncol.2017 Jan;29(1):20-24.
- PURPOSE OF REVIEW: Noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) is a new terminology proposed for encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC). Recently, thyroid cancer incidence has increased dramatically, without affecting related
- PMID 27845971
Japanese Journal
- 多彩な頭頸部病変を呈した Peptostreptococcus micros による敗血症性肺塞栓症の 1 例
- 生方 智,神宮 大輔,矢島 剛洋,庄司 淳,高橋 洋
- 感染症学雑誌 87(6), 761-766, 2013
- … A 46-year-old man with no underlying diseases visited our hospital with otorrhea, ocular motility disorder of the left eye, dizziness and loss of appetite which had lasted for two months. … Since some SPE patients demonstrate a slow progression, SPE should be included in the differential diagnosis of multiple pulmonary nodules such as Wegenerʼs glanulomatosis or neoplasm. …
- NAID 130004922131
- Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland
- MIYAZAKI Takeshi,YAMASAKI Toshiki,MORITAKE Kouzo,MATSUMOTO Yoshifumi,AKIYAMA Yasuhiko,NAGAI Hidemasa,YAMAMOTO Yoshiaki,KODAMA Tatsuo
- Neurologia medico-chirurgica 45(8), 407-410, 2005-08-15
- … A 72-year-old female complained of acute pain on left eye movement followed by progressive exophthalmos. … Accurate clinical diagnosis of neoplasm in the orbital cavity is important for correct therapeutic management. …
- NAID 110002320219
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- 英
- eye neoplasm
- 関
- 眼新生物、眼癌
[★]
- 英
- eye neoplasm
- 関
- 眼腫瘍
[★]
眼癌
- 関
- eye neoplasm
[★]
- 関
- benign neoplasm、cancer、neoplasia、neoplastic、onco、oncologic、tumor、tumour
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