Bilateral choroidal tumors consistent with metastatic malignant paraganglioma.
OBJECTIVE
To report a patient with bilateral choroidal metastasis from a malignant paraganglioma.


METHODS
Clinicopathologic case report and literature review.


RESULTS
A 68-year-old woman presented with bilateral amelanotic focal choroidal lesions. A thorough systemic work-up for a primary cancer revealed a paraganglioma (extraadrenal pheochromocytoma) and a pheochromocytoma of the left adrenal gland. Fine-needle aspiration biopsy of the choroidal lesion was consistent with metastatic paraganglioma.


CONCLUSIONS
Metastatic paraganglioma, although rare, has the ability to metastasize to the choroid.
*Retina Specialists of Michigan, Grand Rapids, Michigan; †Department of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan; ‡Department of Cytopathology and Clinical Pathology & Anatomic Pathology, Cleveland Clinic, Cleveland, Ohio; and §Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio.
Thomas M
TM
Aaberg
Erin P
EP
Benjamin
Charles V
CV
Biscotti
Arun D
AD
Singh