title: Multifocal choroidal metastases from thyroid carcinoma: a case report.
abstract: We present the case of a 62-year-old female patient, with follicular variant of papillary thyroid carcinoma, which presented to our department for a severe decrease in vision at right eye level. Despite a complex therapy, that included a near-total thyroidectomy, thyroid I-131 ablation, suppressive therapy with LT4, and external beam radiotherapy with cobalt- 60, the patient developed multiple lung, mediastinal, liver, and bone metastases, followed after 1 year, by multifocal choroidal metastases. The complex ocular investigations performed for the diagnosis and follow-up of the choroidal metastases are presented. A review of the literature was also performed. The rarity of choroidal metastases in patients with thyroid carcinoma imposes, for their detection, periodic ocular examinations.
authors.affiliation: "Victor Babeş" University of Medicine and Pharmacy, Department of Ophthalmology, Timişoara, Romania. mihneam1@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Munteanu
authors.forename: S
authors.initials: S
authors.lastname: Giuri
authors.forename: C
authors.initials: C
authors.lastname: Roșca
authors.forename: O
authors.initials: O
authors.lastname: Boruga
authors.forename: O
authors.initials: O
authors.lastname: Creţu
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary* / Q000628:therapy; D018265:Carcinoma, Papillary, Follicular / Q000556:secondary* / Q000628:therapy; D002830:Choroid Neoplasms / Q000556:secondary* / Q000628:therapy; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy; D008175:Lung Neoplasms / Q000556:secondary* / Q000628:therapy; D008479:Mediastinal Neoplasms / Q000556:secondary* / Q000628:therapy; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D013965:Thyroidectomy; D015354:Vision, Low / Q000209:etiology