Cargando…
Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature
We herein report a 50-year-old Japanese woman with breast cancer who complained of blurred vision and central scotoma in her left eye on the 12th day after surgery. Subsequently, the sudden-onset binocular visual disorder progressed, and she was diagnosed with cancer-associated retinopathy (CAR) bas...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780336/ https://www.ncbi.nlm.nih.gov/pubmed/29362998 http://dx.doi.org/10.1186/s40792-018-0418-3 |
_version_ | 1783294714822262784 |
---|---|
author | Kamei, Mirei Fujitomi, Yutaka Kondo, Yoshiyuki Adachi, Toru Shibata, Kohei Takumi, Yohei Abe, Miyuki Sugio, Kenji |
author_facet | Kamei, Mirei Fujitomi, Yutaka Kondo, Yoshiyuki Adachi, Toru Shibata, Kohei Takumi, Yohei Abe, Miyuki Sugio, Kenji |
author_sort | Kamei, Mirei |
collection | PubMed |
description | We herein report a 50-year-old Japanese woman with breast cancer who complained of blurred vision and central scotoma in her left eye on the 12th day after surgery. Subsequently, the sudden-onset binocular visual disorder progressed, and she was diagnosed with cancer-associated retinopathy (CAR) based on the clinical findings. Although her visual acuity temporarily improved following the start of adjuvant chemotherapy, reductions in her visual acuity progressed once again. After two courses of steroid pulse therapy initiated from the 59th day following the onset of CAR, although her visual field was still constricted, her binocular visual acuity improved from finger movement to 0.8 2 months later. The shorter the period from onset to treatment, the better the prognosis of the visual function. However, a diagnosis is often delayed because the incidence of this disease is very rare. Therefore, it is important to suspect CAR whenever a sudden visual disorder develops in cancer patients. Furthermore, treatment is believed to be effective even if steroid therapy is started up to 2 months from onset. |
format | Online Article Text |
id | pubmed-5780336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-57803362018-02-01 Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature Kamei, Mirei Fujitomi, Yutaka Kondo, Yoshiyuki Adachi, Toru Shibata, Kohei Takumi, Yohei Abe, Miyuki Sugio, Kenji Surg Case Rep Case Report We herein report a 50-year-old Japanese woman with breast cancer who complained of blurred vision and central scotoma in her left eye on the 12th day after surgery. Subsequently, the sudden-onset binocular visual disorder progressed, and she was diagnosed with cancer-associated retinopathy (CAR) based on the clinical findings. Although her visual acuity temporarily improved following the start of adjuvant chemotherapy, reductions in her visual acuity progressed once again. After two courses of steroid pulse therapy initiated from the 59th day following the onset of CAR, although her visual field was still constricted, her binocular visual acuity improved from finger movement to 0.8 2 months later. The shorter the period from onset to treatment, the better the prognosis of the visual function. However, a diagnosis is often delayed because the incidence of this disease is very rare. Therefore, it is important to suspect CAR whenever a sudden visual disorder develops in cancer patients. Furthermore, treatment is believed to be effective even if steroid therapy is started up to 2 months from onset. Springer Berlin Heidelberg 2018-01-23 /pmc/articles/PMC5780336/ /pubmed/29362998 http://dx.doi.org/10.1186/s40792-018-0418-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Kamei, Mirei Fujitomi, Yutaka Kondo, Yoshiyuki Adachi, Toru Shibata, Kohei Takumi, Yohei Abe, Miyuki Sugio, Kenji Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title | Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title_full | Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title_fullStr | Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title_full_unstemmed | Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title_short | Cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
title_sort | cancer-associated retinopathy after surgery for breast cancer: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780336/ https://www.ncbi.nlm.nih.gov/pubmed/29362998 http://dx.doi.org/10.1186/s40792-018-0418-3 |
work_keys_str_mv | AT kameimirei cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT fujitomiyutaka cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT kondoyoshiyuki cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT adachitoru cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT shibatakohei cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT takumiyohei cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT abemiyuki cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature AT sugiokenji cancerassociatedretinopathyaftersurgeryforbreastcanceracasereportandreviewoftheliterature |