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
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  • 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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October 2014
Volume 8 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Lam M, Lee J, Teoh S and Agrawal R: 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. Oncol Lett 8: 1886-1888, 2014
APA
Lam, M., Lee, J., Teoh, S., & Agrawal, R. (2014). 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. Oncology Letters, 8, 1886-1888. https://doi.org/10.3892/ol.2014.2389
MLA
Lam, M., Lee, J., Teoh, S., Agrawal, R."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". Oncology Letters 8.4 (2014): 1886-1888.
Chicago
Lam, M., Lee, J., Teoh, S., Agrawal, R."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". Oncology Letters 8, no. 4 (2014): 1886-1888. https://doi.org/10.3892/ol.2014.2389