Choroidal metastasis as the presenting feature of a non‑small cell lung carcinoma with no apparent primary lesion identified by X‑ray: A case report
- Authors:
- Michael Lam
- Jason Lee
- Stephen Teoh
- Rupesh Agrawal
View Affiliations
Affiliations: Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore 308433, Republic of Singapore
- Published online on: July 28, 2014 https://doi.org/10.3892/ol.2014.2389
-
Pages:
1886-1888
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Abstract
The most common type of intraocular tumor in adults is the metastatic variety, with the choroid as the typical site of involvement. The case of a patient with non‑small cell lung cancer, who presented with choroidal metastasis, is described in the current report. In addition, the limitation of using a chest X‑ray to identify a large primary lung lesion is highlighted. A 71‑year‑old female that presented with a choroidal mass lesion is described in the current report. A chest X‑ray was conducted and was considered to be normal following detailed investigation, however, a computed tomography (CT) scan of the thorax revealed a large lobulated mass in the right upper lobe. On further histopathological analysis, the patient was diagnosed with a non‑small cell lung carcinoma. Thus, when a large choroidal lesion and overlying exudative retinal detachment is observed, a diagnosis of choroidal metastasis should be considered. X‑ray images may appear to be normal even in the presence of a large pulmonary lesion. Therefore, in cases where there may be a metastatic lesion, a CT scan is proposed as the optimal diagnostic imaging technique.
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