几十年来,一般认为原发性葡萄膜恶性黑色素瘤是最常见的眼恶性肿瘤。近年则认为跟的转移癌是最常见的肿瘤。其中乳腺癌最易发生眼转移。例1,女,53岁,Ⅱ期乳腺癌。ER(+),PR(+)。曾作过辅助化疗。有肺转移,胸腔积液。对化疗敏感。3年后发现左眼脉络膜有一转移灶。接受放疗后眼转移灶得以控制,但1年后又发生骨转移,在发生眼症状31个月后死于肺转移、脑转移。 For decades, it is generally accepted that primary uveal melanoma is the most common ocular malignancy. In recent years, with the metastatic cancer is considered the most common tumor. Breast cancer most prone to ocular metastasis. Example 1, female, 53 years old, stage II breast cancer. ER (+), PR (+). Had done adjuvant chemotherapy. Have lung metastases, pleural effusion. Sensitive to chemotherapy. 3 years after the left choroid was found to have a metastasis. After radiotherapy, ocular metastases were controlled, but bone metastases occurred one year later, died of lung metastases and brain metastases at 31 months after the onset of ocular symptoms.