title: [A case of adenocarcinoma of the lung presenting symptoms of choroidal metastasis as the initial clinical manifestation].
abstract: A 51-year-old woman was referred to our hospital with a complaint of disturbance in vision. Ophthalmologic examination revealed multiple choroidal tumors. High-resolution CT showed a nodular shadow in the left lower lobe. Transbronchial biopsy and right supraclavicular lymph node biopsy specimens showed a poorly-differentiated adenocarcinoma. We concluded that the choroidal tumors had metastasized from the lung. Combined chemotherapy (CDDP + CPT-11) followed by irradiation of both eyes and brain were performed. Nevertheless, she died 6 months after the initial presentation. It is important to notice ophthalmologic symptoms because lung cancer may metastasize to the choroids.
authors.affiliation: Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka 431-3192, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Matsuda
authors.forename: Kingo
authors.initials: K
authors.lastname: Chida
authors.forename: Dai
authors.initials: D
authors.lastname: Hashimoto
authors.forename: Tateaki
authors.initials: T
authors.lastname: Naito
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Fujisawa
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Enomoto
authors.forename: Seiichi
authors.initials: S
authors.lastname: Miwa
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakano
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Suzuki
authors.forename: Koshi
authors.initials: K
authors.lastname: Yokomura
authors.forename: Kyotaro
authors.initials: K
authors.lastname: Ide
authors.forename: Takafumi
authors.initials: T
authors.lastname: Suda
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary*; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*