[Vision impairment at diagnosis of cancer - choroidal metastasis].
Choroidal metastasis represents the most common type of intraocular malignancy and preferably involves the posterior uveal tract. Breast and lung cancer - known or so far undiagnosed - are most frequently identified as the underlying tumor disease. The majority of patients diagnosed with uveal metastasis have additional metastatic manifestations elsewhere, so re-staging before treatment is recommended. The importance of a multidisciplinary approach is obvious. Early diagnosis and timely initiation of treatment are mandatory in case of vision-threatening situations. External beam radiation remains the therapy of choice. Overall survival of patients with uveal metastasis is limited, averaging six to twelve months. The other eye is frequently enough affected as well, justifying regular ophthalmologic follow-up during the further course of the disease.
Universitätsklinik für Medizinische Onkologie, Universitätsspital/Inselspital Bern.
Sabrina
S
Jegerlehner
Universitätsklinik für Augenheilkunde, Universitätsspital/Inselspital Bern.
Simon P
SP
Rothenbuehler
Universitätsklinik für Medizinische Onkologie, Universitätsspital/Inselspital Bern.
Thomas
T
Pabst
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D000369:Aged, 80 and over; D001706:Biopsy; D001932:Brain Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary; D002829:Choroid / Q000473:pathology; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010857:Pigment Epithelium of Eye / Q000473:pathology; D013125:Spinal Neoplasms / Q000473:pathology / Q000556:secondary; D013904:Thoracic Vertebrae / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*
Aderhaut; Augentumor; Metastase; choroidal; intraocular tumor; intraokulär; metastasis; métastase; métastases choroïdiennes; tumeur intraoculaire