Choroidal metastasis from adenoid cystic carcinoma of the lung.
OBJECTIVE
We report a case of a choroidal metastasis from an adenoid cystic carcinoma of the lung. Interventional case report.


METHODS
A 40-year old man, 9 months' status postresection of a bronchial adenoid cystic carcinoma, was diagnosed by clinical evaluation and fine-needle aspiration biopsy and treated with palladium-103 ophthalmic plaque brachytherapy.


RESULTS
This unusual patient with uveal metastasis from adenoid cystic carcinoma presented with decreased vision in the right eye and a diaphanous amelanotic choroidal tumor in the superotemporal macula. Ultrasound revealed a dome-shaped tumor that measured 4.0 mm in apical height and 11 x 10 mm in basal diameter. Fluorescein angiography revealed a double circulation and late intense subretinal fluorescence. Plaque brachytherapy provided local control and preservation of the eye.


CONCLUSIONS
Bronchogenic adenoid cystic carcinoma can metastasize to the choroid.
Finger
Paul T
PT
New York Eye Cancer Center, New York, New York 10021, USA. pfinger@eyecancer.com
Marin
Jorge Prado
JP
Berson
Anthony M
AM
Kedhar
Sanjay
S
McCormick
Steven A
SA
D000328:Adult; D001918:Brachytherapy; D001984:Bronchial Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D003528:Carcinoma, Adenoid Cystic / Q000532:radiotherapy / Q000556:secondary*; D002830:Choroid Neoplasms / Q000532:radiotherapy / Q000556:secondary*; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D010165:Palladium / Q000627:therapeutic use; D011868:Radioisotopes / Q000627:therapeutic use; D014792:Visual Acuity
D011868:Radioisotopes; D010165:Palladium