Presumed bilateral choroidal metastases from mucoepidermoid carcinoma of the submandibular gland.
OBJECTIVE
To report a case of presumed bilateral choroidal metastases from mucoepidermoid carcinoma of submandibular gland.


METHODS
Case report. A 52-year-old lady with history of left submandibular gland mucoepidermoid carcinoma developed bilateral choroidal metastases unresponsive to chemotherapy. She presented with a 3-week history of left eye pain. Fundoscopy revealed bilateral yellowish choroidal lesions associated with inferior exudative retinal detachment. B-scan ultrasonography showed high internal reflectivity of both lesions. Fluorescein angiography revealed pinpoint foci of hyperfluorescence over the choroidal lesion with late leakage. The patient declined positron emission tomography scan, radiotherapy, and surgical intervention. She eventually succumbed 5 months after the initial presentation.


RESULTS
Our case is the first case report on clinically presumed bilateral choroidal metastases from mucoepidermoid carcinoma of the submandibular gland.


CONCLUSIONS
There are few reported cases of ocular metastasis from salivary gland tumors, mostly adenoid cystic carcinoma. To the best of our knowledge, this is the first reported case of bilateral choroidal metastases from mucoepidermoid carcinoma of the submandibular gland.
*Department of Ophthalmology, United Christian Hospital, Kowloon, Hong Kong SAR, China †Eye Institute, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Emily W H
EW
Tang
Colette S L
CS
Tsang
Kenneth K W
KK
Li