title: A case of prolonged disease-free survival in a patient with choroidal metastasis from breast cancer.
abstract: BACKGROUND
  A 57-year-old woman presented with distorted vision and decreased visual acuity (finger count only) in her left eye, 6 years after she had undergone a lumpectomy, lymph-node dissection, and radiation therapy for a 1.1 cm infiltrating ductal carcinoma of her right breast. A year before this presentation, she had completed 5 years of adjuvant tamoxifen therapy.
  
  
  METHODS
  Physical examination, including a thorough ophthalmologic evaluation; laboratory investigations, ocular fluorescein angiography, ocular ultrasonography, head CT, chest X-ray, abdominal ultrasonography, bone scan, and bilateral mammography.
  
  
  METHODS
  Choroidal metastasis from breast carcinoma, with no other evidence of disease recurrence.
  
  
  RESULTS
  Radiation therapy to the left eye followed by ongoing hormonal therapy with oral letrozole 2.5 mg daily for the past 9.5 years.
authors.affiliation: University of Toronto, ON, Canada.
authors.forename: Raymond W
authors.initials: RW
authors.lastname: Jang
authors.forename: Mary
authors.initials: M
authors.lastname: Doherty
authors.forename: J Jill
authors.initials: JJ
authors.lastname: Hopkins
authors.forename: Ellen
authors.initials: E
authors.lastname: Warner
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000556:secondary*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D000077289:Letrozole; D008875:Middle Aged; D009570:Nitriles / Q000627:therapeutic use; D018714:Radiotherapy, Adjuvant; D013997:Time Factors; D016896:Treatment Outcome; D014230:Triazoles / Q000627:therapeutic use
chemical_list: D018931:Antineoplastic Agents, Hormonal; D009570:Nitriles; D014230:Triazoles; D000077289:Letrozole