眼窩転移をきたした膀胱癌の1例

A CASE OF METASTATIC ORBITAL CARCINOMA FROM URINARY BLADDER

緒言

　一般に眼窩に転移性腫瘍をみることは珍しいとされているが，原発巣が膀胱にあつてその癌が眼窩転移をきたした例はSmiley （1965）^1）の報告をみるのみである。われわれはこのたび55歳男子で，膀胱癌が両側の眼窩転移を起こし，ついには死亡した例を経験したので，その臨床経過および剖検所見などにつき報告する。

An unusual case of metastatic carcinoma to both orbits from the urinary bladder in a 55 year-old male was presented.

Its clinical course and autopsy findings were reported.

5 months before coming our clinic, partial cystectomy was done for carcinoma of the uri-nary bladder.

The initial complaints were dull pain of left eye and swelling of left upper lid.

Left papilledema, visual disturbance and diplo-pia occurred three months later, and then ex-ophthalmos appeared.

On 5 months after first symptoms in the left eye, the same symptoms were recognized in the right eye, and these grew progressively.