Rapidly expanding exophthalmos: an unusual presentation of small cell lung cancer.
A 61-year-old male presented with a rapidly progressive exophthalmos from small cell lung cancer metastatic to the right orbit. His vision in that eye was 20/200, and his intraocular pressure was 36 mmHg. The orbital metastasis responded dramatically to chemotherapy. One week after starting the chemotherapy the patient did not have exophthalmos, his vision was 20/20, and three weeks later the intraocular pressure was 12 mmHg.
Spaide
R F
RF
Ophthalmology Service, Landstuhl Army Regional Medical Center, Federal Republic of Germany.
Granger
E
E
Hammer
B D
BD
Negron
F J
FJ
Paglen
P G
PG
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018288:Carcinoma, Small Cell / Q000150:complications / Q000188:drug therapy / Q000556:secondary*; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005094:Exophthalmos / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary*; D012074:Remission Induction
D005047:Etoposide; D004317:Doxorubicin; D003520:Cyclophosphamide