title: [Choroidal metastasis of gastric adenocarcinoma as a first sign of systemic disease recurrence: case report].
abstract: To describe a patient with unilateral metastatic choroidal gastric adenocarcinoma as a first sign of systemic dissemination. A 54-year-old woman presented with a 7-month history of progressive pain and decrease in vision in her left eye. She had undergone total gastrectomy due to gastric adenocarcinoma two years previously. Examination of the left eye revealed an elevated creamy yellow choroidal tumor infiltrating the macular area and extending around the optic nerve head, suggesting metastasis. Treatment was enucleation of the affected eye. There was orbital recurrence of the tumor, leading to exenteration. Orbital and intraocular metastasis are generally associated with a bad prognosis. This patient represents a rare occurrence of metastatic gastric adenocarcinoma to the choroid, developing as a first sign of systemic recurrence.
authors.affiliation: Otorhinolaryngology and Head and Neck Surgery Department, Santa Casa of Sobral, CE, Brazil.
authors.forename: Daniel Hardy
authors.initials: DH
authors.lastname: Melo
authors.forename: Paulo de Tarso Ponte
authors.initials: Pde T
authors.lastname: Pierre Filho
authors.forename: Paulo Rogers Parente
authors.initials: PR
authors.lastname: Gomes
authors.forename: Andréa Gifoni Siebra de
authors.initials: AG
authors.lastname: Holanda
authors.forename: Larissa Pereira da Ponte
authors.initials: LP
authors.lastname: Amadei
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D002830:Choroid Neoplasms / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009918:Orbital Neoplasms / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology*