title: [Choroid metastases revealing pulmonary adenocarcioma resolved with chemotherapy].
abstract: Lung cancer is the leading cause of choroidal metastasis in men, but choroidal metastasis is rarely inaugural. With the advent of new generations of chemotherapy molecules non-small-cell lung cancer (NSCLC) has become more chemosensitive. Choroidal metastasis may respond to chemotherapy. We report a case of a 52-year-old men who developed choroidal metastasis revealing pulmonary adenocarcinoma confirmed by the bronchial biopsy. Systemic chemotherapy using gemcitabine-cisplatin led to total involution of the choroidal metastasis with improvement of the visual acuity in one eye and stabilization in the other. Systematic search for lung cancer is required in patients presenting choroidal metastasis. If compatible with the patient's general status, histologically-adapted chemotherapy must be instituted. This approach can avoid the use of radiotherapy and therefore deterioration of visual acuity after radiation.
authors.affiliation: Service de Pneumologie et d'Allergologie, CHU F.-Bourguiba, 5000 Monastir, Tunisie.
authors.forename: M H
authors.initials: MH
authors.lastname: Battikh
authors.forename: S
authors.initials: S
authors.lastname: Ben Yahia
authors.forename: M M
authors.initials: MM
authors.lastname: Ben Sayah
authors.forename: A
authors.initials: A
authors.lastname: Maatallah
authors.forename: S
authors.initials: S
authors.lastname: Joobeur
authors.forename: N
authors.initials: N
authors.lastname: Rouatbi
authors.forename: M
authors.initials: M
authors.lastname: Khairallah
authors.forename: A
authors.initials: A
authors.lastname: El Kamel
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012074:Remission Induction