[An iris metastasis revealed a bronchopulmonary cancer].
We report the case of a 53-year-old patient referred by his ophthalmologist for a red, painful eye. On exam, he demonstrated findings of granulomatous uveitis with ocular hypertension (38 mm Hg) and a whitish, vascularized iris tumor with invasion of the irido-corneal angle. As our first hypothesis was an iris metastasis, a systemic work-up was carried out, which revealed moderately differentiated broncho-pulmonary carcinoma with multiple metastases (brain, cerebellum and adrenal). Emergency radio-chemotherapy was initiated, and the outcome was good, with rapid regression of the iris metastasis and good efficacy against the primary cancer. After one year of follow-up, the patient developed a metastasis at a new site, and his general condition deteriorated.
Service d'ophtalmologie, centre hospitalier universitaire de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France. Electronic address: morganestraub@gmail.com.
M
M
Straub
Service d'ophtalmologie, centre hospitalier universitaire de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
A
A
Muselier
Service d'ophtalmologie, centre hospitalier universitaire de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
A
A
Bron
Service d'ophtalmologie, centre hospitalier universitaire de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
C
C
Creuzot-Garcher
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D000077192:Adenocarcinoma of Lung; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016371:Cranial Irradiation; D006801:Humans; D015811:Iris Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary*; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant
Bronchopulmonary cancer; Cancer bronchopulmonaire; Granulomatous uveitis; Iris metastasis; Métastase irienne; Radio-chemotherapy; Radio-chimiothérapie; Uvéite granulomateuse