Adult wilms' tumor metastatic to the choroid of the eye.
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.
Finger
Paul T
PT
New York Eye Cancer Center, New York, New York 10021, USA. pfinger@eyecancer.com
Warren
Floyd A
FA
Gelman
Yana P
YP
McCormick
Steven A
SA
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*