Choroidal metastases of choriocarcinoma.
OBJECTIVE
We present here a patient with choroidal metastases of choriocarcinoma; her clinical and pathologic findings are described.


METHODS
Retrospective case study with fundus photographs. A 23-year-old woman presented with a dense vitritis, retinal detachment, and underlying chorioretinal lesions. Systemic workup revealed choriocarcinoma with disseminated metastases.


RESULTS
This patient's underlying malignancy was unrecognized at initial presentation to ophthalmology. This case reaffirms the importance of thorough systemic investigation for atypical intraocular lesions.


CONCLUSIONS
Adult intraocular neoplasms are most commonly metastases from distal primary malignancies. The same holds true for uveal malignancies. In many uveal malignancies, the intraocular lesion is a harbinger for an, as yet, undiscovered underlying systemic malignancy.
*Albert Einstein College of Medicine; †Department of Ophthalmology, Montefiore Medical Center, Bronx, New York; and ‡Department of Ophthalmology, Jacobi Medical Center.
Albert
A
Hazan
Matthew S J
MS
Katz
Henry
H
Leder
Nancy
N
Blace
Moshe
M
Szlechter
D002822:Choriocarcinoma / Q000556:secondary*; D002830:Choroid Neoplasms / Q000556:secondary*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology*; D055815:Young Adult