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RISS 인기검색어
- 검색키워드
- 저자 : ( Hayyam Kiratli ) (검색결과 2 건)
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Papillary Thyroid Carcinoma: Bilateral Choroidal Metastases with Extrascleral Extension
Hayyam Kiratli,Berçin Tarlan,Figen Söylemezoğlu 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.3
Here, we present the case of a patient with bilateral choroidal metastases with extraocular extension in one eye. Metastasis of papillary thyroid carcinoma to the uvea is extremely rare, with only 6 patients reported in the literature. A 62-year-old man with a prior history of papillary thyroid carcinoma suffered the rapid loss of vision in his right eye. He had neovascular glaucoma, total retinal detachment, and a solitary choroidal mass. A month later,his left visual acuity also decreased because of a small macular choroidal mass. The right eye was enucleated and a nodular lesion over the sclera representing extraocular extension was observed. This tumor and the intraocular lesion were composed of papillary excrescences and cystic spaces and stained positively for thyroid transcription factor 1 and thyroglobulin, all confirming the diagnosis of metastatic papillary thyroid carcinoma. The tumor in the left eye was successfully treated with diode laser transpupillary thermotherapy. The patient expired within a month as a result of widespread pulmonary metastases. Papillary thyroid carcinoma may metastasize to the uvea bilaterally, cause rapid visual function loss, erode the sclera, and may extend outside the globe similar to choroidal melanoma. This aggressive ocular involvement was associated with a dismal prognosis in our patient.
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Granular Cell Tumor of The Inferior Rectus Muscle
( Ceren Erdogan Poyraz ),( Hayyam Kiratli ),( Figen Soylemezoglu ) 대한안과학회 2009 Korean Journal of Ophthalmology Vol.23 No.1
A 53-year-old woman complaining of vertical diplopia, presented with a localized swelling in the right lower lid. Magnetic resonance imaging studies demonstrated a relatively well-defined mass in the inferior rectus with similar signal characteristics to the muscle. Excisional biopsy of the mass revealed granular cell tumor composed of S-100 positive cells with acidophilic granular cytoplasm and a peripheral lymphocytic infiltration. Granular cell tumor, which is very rare in the orbit, should be considered in the differential diagnosis of tumors adjacent to or within the extraocular muscles, particularly in the inferior orbit. Korean J Ophthalmol 2009;23:43-45 (C) 2009 by the Korean Ophthalmological Society.
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