Bilateral Choroidal Metastases from Lung Adenocarcinoma
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
The most common form of intraocular malignancies is choroidal metastases. Eighty-eight percent of the metastatic foci are detected in the choroid, 9% in the iris and 2% in the ciliary body. Typical choroidal metastases are plateau-shaped, cream-colored and occur with subretinal fluid and retinal detachment. Metastatic choroidal lesions are mostly seen in the posterior pole where blood flow is the highest. Sixty-six percent of the patients have a previous systemic cancer history. The most common cause of orbital metastases in women is breast cancer, and in men, it is lung cancer. Treatment of these tumors, which may cause a drastic decrease in sharpness of sight, consists of laser photocoagulation, cryotherapy, chemotherapy, radiotherapy (RT), surgical resection and photodynamic therapy. In small tumors not hindering the sight, treatment response can be achieved with systemic therapy. In symptomatic large lesions, external RT is necessary. We report a case of lung cancer presenting first with symptoms caused by orbital metastases...

https://www.karger.com/Article/FullText/449154
Like
Comment
Share