Choroidal metastases 34 years after remission of breast cancer.
OBJECTIVE
To report a case of choroidal metastases from breast carcinoma occurring after a remission period of 34 years.


METHODS
Case report and literature review.


RESULTS
A 77-year-old woman who presented with blurry vision was found to have choroidal metastatic lesions in both her eyes. She had a remote history of breast cancer (status post mastectomy) 34 years ago. A metastatic workup was performed that revealed the presence of widespread metastatic lesions in the lungs, liver, and bones.


CONCLUSIONS
Although the median time period for the detection of choroidal metastases is 3 years after the diagnosis of the primary malignancy, choroidal metastases can present till 34 years later as in our case (the longest time interval reported in the literature).
*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and †West Coast Retina Medical Group, San Francisco, California.
Sandeep
S
Randhawa
Robert N
RN
Johnson
D000368:Aged; D001859:Bone Neoplasms / Q000556:secondary; D001943:Breast Neoplasms / Q000473:pathology*; D018270:Carcinoma, Ductal, Breast / Q000556:secondary*; D002830:Choroid Neoplasms / Q000556:secondary*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D013997:Time Factors