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肾母细胞瘤(Wilm’s 瘤、肾胚胎瘤)转移到眼眶者十分罕见,迄今国内未见报道,我科遇到2例,报告如下。例1 陶×男2岁住院号330109 左眼红痛伴眼球突出1个多月,诊断为眶内肿瘤,于1990年2月10日入院。身体消瘦,精神甚差。右腹部肾区可见12cm 长线形疤痕。半年前,患儿曾因腹部膨隆,不思饮食就诊于某院外科。腹部B 超检查,右肾区可探及前后径为120mm 大小肿块,上界达肝。经手术探查,于右肾区取出与肾脏相连的肿块约1.3kg。病理诊断为肾母细胞瘤。右肾正常。左眼上睑高度肿胀、充血。眼球突出度右10mm,左16mm,眶距95mm。球结膜充血、水肿,角膜水肿,2%莹光素染色呈(氵弥)散性上皮着色。眼内结构无法窥清。B 超检查,左眼眶内可探及35×20×15mm 大小肿块,包膜不明显。入院后,经眼眶肿块活检(病理号379773),诊断为眼眶内转移性肾母细胞瘤。因患儿
It is very rare that nephroblastoma (Wilm’s tumor, renal embryonic tumor) metastasizes to the eyelid. So far no report has been reported in China. There are 2 cases in our department. The report is as follows. Example 1 Tao × male, 2 years old, hospitalization number, 330,109 Left eye red pain with eyeball protrusion for more than 1 month, diagnosed as orbital tumor, was admitted to hospital on February 10, 1990. Body weight loss, very poor spirit. A 12cm long linear scar was visible in the right abdominal kidney area. Six months ago, the child suffered from bulging her abdomen and did not consider eating and treating in a hospital. Abdominal B-ultrasound, the right kidney area can be probed with a anteroposterior diameter of 120mm in size, the upper limit reached the liver. After surgical exploration, about 1.3 kg of the mass connected with the kidney was removed from the right kidney area. Pathological diagnosis of nephroblastoma. The right kidney is normal. The upper eyelid of the left eye is highly swollen and congested. The degree of eyeball protrusion is 10mm in the right, 16mm in the left, and the distance between the eyes is 95mm. Bulbar conjunctival hyperemia, edema, and corneal edema, 2% fluorescein staining showed a diffuse epithelium staining. The intraocular structure cannot be seen. B-ultrasound, within the left eye can be probed and 35 × 20 × 15mm size mass, the capsule is not obvious. After admission, he was diagnosed as metastatic nephroblastoma in the orbit via a biopsy of the orbital mass (pathology number 379773). Because of children