[A case of adenocarcinoma of the lung presenting symptoms of choroidal metastasis as the initial clinical manifestation].
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.
Matsuda
Hiroyuki
H
Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka 431-3192, Japan.
Chida
Kingo
K
Hashimoto
Dai
D
Naito
Tateaki
T
Fujisawa
Tomoyuki
T
Enomoto
Noriyuki
N
Miwa
Seiichi
S
Nakano
Hideki
H
Suzuki
Kenichiro
K
Yokomura
Koshi
K
Ide
Kyotaro
K
Suda
Takafumi
T
Nakamura
Hirotoshi
H
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*