title: Adult wilms' tumor metastatic to the choroid of the eye.
abstract: BACKGROUND
  Ocular manifestations of Wilms' tumor are rare, particularly in adults. We present the first reported case of a choroidal metastasis resulting from Wilms' tumor.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A 37-year-old white male with an adult-onset biopsy-proven Wilms' tumor with multiorgan metastatic disease.
  
  
  RESULTS
  We report a unique case of uveal metastasis presumed from a Wilms' tumor. The patient's history included a primary Wilms' tumor with known disseminated metastasis, orbital pain, metamorphopsia, and decreased vision. Ophthalmoscopy revealed a unifocal choroidal tumor in the inferotemporal quadrant of the right eye. Ultrasonographic measurements of the tumor were 4.9 mm in apical height and 15 x 13 mm in basal diameter. Unusual ultrasound findings included echodense stromal opacities and retrobulbar edema. Fluorescein angiography revealed double circulation and late intratumoral fluorescence.
  
  
  CONCLUSIONS
  This is the first reported case of a choroidal metastasis by a Wilms' tumor.
authors.affiliation: New York Eye Cancer Center, New York, New York 10021, USA. pfinger@eyecancer.com
authors.forename: Paul T
authors.initials: PT
authors.lastname: Finger
authors.forename: Floyd A
authors.initials: FA
authors.lastname: Warren
authors.forename: Yana P
authors.initials: YP
authors.lastname: Gelman
authors.forename: Steven A
authors.initials: SA
authors.lastname: McCormick
mesh_terms: D000328:Adult; D002830:Choroid Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D017809:Fatal Outcome; D005451:Fluorescein Angiography; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D014463:Ultrasonography; D009396:Wilms Tumor / Q000000981:diagnostic imaging / Q000556:secondary*