作者报告一例38岁家庭妇女,于1974年6月中旬起视物变形,左眼视力减低(0.2),诊断中心性视网膜炎。1 1/2月后左眼视力减低至0.1,两个月后出现嘶哑,3个月后左颈部触知拇指大硬块。组织活检为转移性癌。支气管造影见B_(1+2)开始部有中断现象,该处支气管镜下擦拭脱落细胞分类Ⅴ级,诊断原发性肺癌,脉络膜转移。病程一年六个月死亡。 The authors report a case of a 38-year-old family woman who had a distorted vision from the middle of June 1974 and had reduced visual acuity in the left eye (0.2) and diagnosed central retinitis. After 1 1/2 months, the visual acuity of the left eye was reduced to 0.1, and two months later, hoarseness developed. After 3 months, the left neck touched a large lump of thumb. Tissue biopsy is metastatic cancer. In the bronchial angiography, there was an interruption in the beginning of the B_(1+2). The bronchus was wiped off and the exfoliated cells were classified as grade V to diagnose primary lung cancer and choroidal metastasis. The course of the disease dies for six months a year.