title: [Radiation therapy in simultaneous choroidal and brain metastases].
abstract: Choroidal metastases from lung cancer can be the initial clinical manifestation of metastasic disease, although they generally coexist with at least two more metastasic sites. The most common symptom is decreased vision, however 20% of brain metastases can present with visual alterations. A differential diagnosis within brain metastases and/or choroidal is necessary. We present the case of a patient with lung cancer and decreased vision who was diagnosed as simultaneous choroidal and brain metastases. Radiation therapy (20Gy/5fractions) significantly improves decreased vision. This case shows that, although life expectancy of patients with metastasic lung cancer is short, an adequate diagnosis and treatment, can improve the quality of life of those patients.
authors.affiliation: Servicio de Oncología Radioterápica, Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. cconill@clinic.ub.es
authors.forename: C
authors.initials: C
authors.lastname: Conill
authors.forename: S
authors.initials: S
authors.lastname: Jorcano
authors.forename: I
authors.initials: I
authors.lastname: Planas
authors.forename: J
authors.initials: J
authors.lastname: Marruecos
authors.forename: F
authors.initials: F
authors.lastname: Casas
authors.forename: J R
authors.initials: JR
authors.lastname: Fontenla
mesh_terms: D000230:Adenocarcinoma / Q000532:radiotherapy* / Q000556:secondary*; D000368:Aged; D001932:Brain Neoplasms / Q000532:radiotherapy* / Q000556:secondary*; D002830:Choroid Neoplasms / Q000532:radiotherapy* / Q000556:secondary*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*