葡萄膜炎を伴った脳内原発性細網肉腫の1例

A Case of Primary Reticulum Cell Sarcoma of the Brain with Uveitis

Ⅰ．はじめに

　脳内原発性肉腫は比較的まれなもので，諸家の報告によれば全脳腫瘍の1％内外を占めるにすぎないが^1），なかでも細網肉腫（reticulum cell sarcoma）は少なく，本邦においても著者らの調べた範囲では30数例が報告されているだけである^2-7，11）．

　1972年，Neaultら^9）は葡萄膜炎を伴った7例の脳内原発性細網肉腫を報告しているが，最近われわれも原因不明の葡萄膜炎で発症し，興味ある臨床経過を示した脳内原発性細網肉腫の1剖検例を経験したので報告し，若干の文献的考察を行なった．

In 1972, Neault and his co-workers reported seven cases of uveitis associated with intracranial reticulum cell sarcoma. Recently we have experienced a similar case for the first time in Japan.

A 32-year-old woman registered on March 10, 1971, complaining of blurred vision in the left eye for about two weeks. By ophthalmic examination, left posterior uveitis was diagnosed but the etiology was unknown. Treatment with corticosteroids was begun, but her left eye continued to fail in spite of the treatment.