[Choroidal metastases in breast and lung cancer. Prevalence and clinical features. A prospective study].
OBJECTIVE
To analyze the prevalence of choroidal metastases in patients with breast and lung cancer and report their clinical, ophtalmological and angiographic features.


METHODS
88 patients who in 1997 had been diagnosed of breast cancer (60 cases) and lung cancer (28) by the oncology unit in the University Hospital of Elche, underwent a thorough ophtalmological examination in search for choroidal metastases. Eighty six patients were newly diagnosed of cancer; the remaining two patients, in a complete remission status, relapsed during this period.


RESULTS
Total prevalence of choroidal metastases in the sample was 4.54% (4 cases). Prevalence in lung cancer was 7.14% (2 cases) compared to 3.33% (2 cases) in breast cancer. Choroidal involvement was found in the following stages: 2 out of 7 patients (28.5%) in stage IV with disseminated breast cancer and 2 out of 9 patients (22.22%) in stage IV with disseminated lung cancer.


CONCLUSIONS
Approximately one fourth of the patients showing disseminated breast and lung cancer (stage IV) showed metastases in the choroid. It appears from this study, that younger patients suffering from lung cancer are at greater risk of choroidal involvement (Arch Soc Esp Oftalmol 2002; 77: 23-28).
Vidal Candela
M T
MT
Hospital General Universitario de Elche, Servicio de Oftalmología y Servicio de Oncología, Hospital General Universitario de San Juan. Servicio de Oftalmología.
Javaloy Estañ
J
J
Soler Ferrández
F L
FL
Rodríguez-Lescure
A
A
Carrato Mena
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms; D018567:Breast Neoplasms, Male; D002830:Choroid Neoplasms / Q000556:secondary*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies