[A case of adenocarcinoma of the lung presenting symptoms of choroidal metastasis as the initial clinical manifestation]

Nihon Kokyuki Gakkai Zasshi. 2004 May;42(5):410-4.
[Article in Japanese]

Abstract

A 51-year-old woman was referred to our hospital with a complaint of disturbance in vision. Ophthalmologic examination revealed multiple choroidal tumors. High-resolution CT showed a nodular shadow in the left lower lobe. Transbronchial biopsy and right supraclavicular lymph node biopsy specimens showed a poorly-differentiated adenocarcinoma. We concluded that the choroidal tumors had metastasized from the lung. Combined chemotherapy (CDDP + CPT-11) followed by irradiation of both eyes and brain were performed. Nevertheless, she died 6 months after the initial presentation. It is important to notice ophthalmologic symptoms because lung cancer may metastasize to the choroids.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / diagnostic imaging
  • Adenocarcinoma / secondary*
  • Choroid Neoplasms / diagnosis
  • Choroid Neoplasms / secondary*
  • Female
  • Fluorescein Angiography
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology
  • Middle Aged
  • Tomography, X-Ray Computed
  • Vision Disorders / etiology*