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2011, Number 1

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Mediciego 2011; 17 (1)

Ocular metastasis of soft tissue pleomorphic sarcoma

Rodríguez VM, Verona UL, Sigler VA, Leiva GY
Full text How to cite this article

Language: Spanish
References: 8
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Key words:

SARCOMA/ diagnosis, SOFT TISSUE NEOPLASMS/diagnosis.

ABSTRACT

Introduction: Since the first description in 1872 of a metastatic tumor in an eye patient with carcinoma, the literature has indicated that metastatic tumors are the most common intraocular tumor in adults. Soft tissue sarcomas are a heterogeneous group of tumors arising from the nonepithelial extraskeletal tissue of human body. Metastases to regional lymph are rare in sarcomas unlike carcinomas. Objective: To provide knowledge about the subject. Method: A literature review and comprehensive review of patient. Results: It is reported a case of a 32 years white male patient, with a history of being treated in rheumatology clinic a year ago with musculoskeletal pain that were interpreted as ankylosing spondylitis, he went to consultation referring loss of visual acuity in her left eye. At physical examination it was found multiple serous retinal detachments that interested the posterior pole in left eye and only two of these in the right eye that respected the macula. The patient's visual acuity was hand movements for the left eye vision and the vision unit to the right eye. The diagnosis was based on data obtained from physical examination, ocular ultrasound, computed tomography of the orbits, thorax and abdomen, and biopsy by fine needle aspiration. Conclusions: The diagnosis was that the patient suffered a pleomorphic soft tissue sarcoma; it was treated with cytostatics and radiation, but finally ended the patient´s life.


REFERENCES

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  2. Figueroa Tamayo A, González Bernal MJ. Sarcoma de células claras. Presentación de un caso. Rev Cubana Oncol. 1999; 15(1):26-9.

  3. Leone PM. Sarcomas de tejidos blandos [Internet]. 2005 [citado 5 Feb 2009] [aprox. 12 pantallas]. Disponible en: http://www.medicosecuador.com/librosecng/articuloss/4/sarcomas_de_tejidos.htm

  4. López A. Sarcomas de partes moles. Buenos Aires: Editora médica y científica; 1999.

  5. Meister P. Malignant fibrous histiocytoma: histomorphological pattern of tumour type. Pathol Res Pract. 2006; 192:877-81.

  6. Akerman M. Malignant fibrous histiocytoma, the commonest soft tissue sarcoma or a nonexistent entity. Acta Orthop Scand. 2007; 68(273):41-6.

  7. Hsu SM, Raine L, Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J Histochem Cytochem. 2007; 29:577-82.

  8. Brooks JSJ. The significance of double phenotypic patterns and markers in human sarcomas. A new model of mesenchymal differentiation. Am J Pathol. 2006; 125:113-23.




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Mediciego. 2011;17