Hepatocellular carcinoma metastatic to uvea.
OBJECTIVE
To describe a case of uveal metastasis secondary to hepatocellular carcinoma.


METHODS
The authors present a 57-year-old man with known diagnosis of hepatocellular carcinoma, with progressive visual problems in his right eye. Work-up including indirect ophthalmoscopic examination, ocular ultrasonography, and brain magnetic resonance imaging revealed a dome-shaped choroidal mass abutting the optic disk with surrounding shallow exudative retinal detachment.


RESULTS
A fine-needle biopsy of the lesion confirmed the presence of malignant cells suggestive of metastatic disease from hepatocellular carcinoma. The patient was subsequently treated with brachytherapy. The patient died 3 weeks after the treatment due to pneumonia, which was felt to be unrelated to his ocular disease.


CONCLUSIONS
This is a report of a very unusual case of hepatocellular carcinoma with metastasis to uveal tract.
From the *Department of Solid Tumor Oncology, Taussig Cancer Institute; and †Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio.
Robert
R
Wesolowski
Jeffrey Yau-Huei
JY
Chung
Arun
A
Singh
Richard
R
Kim