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色素膜转移癌是少见病,行保守治疗的更少。本文对2例脉络膜转移癌和1例脉络膜虹膜转移癌进行了保守治疗,2例保持原来视力,1例有所提高,其血浆癌胚抗原(CEA)值均有升高,并观察了血浆CEA值的诊断意义。病例1,68岁男性,肺癌,双眼脉络膜转移癌,视力右眼0.03,左眼手动。右眼氙弧光直接光凝固,左眼用超高压X线照射治疗,病情稳定。9个月后右眼转移癌复发,视力下降。用β线和超高压X线照射,肿瘤缩小,视力恢复。3个月后由于全身衰弱而死亡。治疗过程中连续测血浆CEA值,初诊时升高,好转时下降,复发时又升高。病例2,50岁女性,乳腺癌术后6年半,发
Pigmented membrane metastases are rare and less conservatively treated. Two cases of choroidal metastatic carcinoma and one case of choroidal iris metastatic carcinoma were treated conservatively. Two cases maintained their original visual acuity and one case improved. The plasma carcinoembryonic antigen (CEA) values were elevated and the plasma CEA The diagnostic value of the value. Case 1,68-year-old male, lung cancer, choroidal metastasis, visual acuity, right eye 0.03, left eye, manual. Right eye xenon arc light direct photocoagulation, left eye with high pressure X-ray treatment, stable condition. 9 months after the recurrence of right eye cancer, vision loss. With β-ray and ultra-high pressure X-ray irradiation, tumor shrinkage, visual acuity. 3 months after death due to general weakness. Continuous treatment of plasma CEA value measured during the first visit increased, decreased when the improvement, and then increased again. Case 2,50-year-old female breast cancer after 6 and a half years, hair