title: Choroidal metastasis from adenoid cystic carcinoma of the lung.
abstract: 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.
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: Jorge Prado
authors.initials: JP
authors.lastname: Marin
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Berson
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kedhar
authors.forename: Steven A
authors.initials: SA
authors.lastname: McCormick
mesh_terms: 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
chemical_list: D011868:Radioisotopes; D010165:Palladium