title: Choroidal metastases as the sole initial presentation of metastatic lung cancer: case report and review of literature.
abstract: BACKGROUND
  Choroidal metastasis as an initial presenting feature of metastatic lung cancer is exceedingly rare. External beam radiotherapy (EBRT) is an effective and widely accepted therapeutic modality. However, data addressing the effectiveness of other treatment strategies is limited. Herein, we present a patient with choroidal metastases secondary to lung cancer and review the relevant literature.
  
  
  METHODS
  A 25-year-old male presented with deterioration of vision. His evaluation revealed bilateral choroidal metastasis secondary to adenocarcinoma of the lung. Unfortunately, his vision continued to deteriorate despite treatment with EBRT and chemotherapy.
  
  
  CONCLUSIONS
  Metastatic lung cancer can manifest with choroidal metastasis as an initial presentation.
authors.affiliation: King Hussein Cancer Center, Al-Jubeiha, Amman, Jordan. ssalah@khcc.jo
authors.forename: S
authors.initials: S
authors.lastname: Salah
authors.forename: J
authors.initials: J
authors.lastname: Khader
authors.forename: Y
authors.initials: Y
authors.lastname: Yousef
authors.forename: A
authors.initials: A
authors.lastname: Salem
authors.forename: M
authors.initials: M
authors.lastname: Al-Hussaini
authors.forename: R
authors.initials: R
authors.lastname: Al-Asady
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000328:Adult; D001706:Biopsy; D002829:Choroid / Q000473:pathology*; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000556:secondary*; D003937:Diagnosis, Differential; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed