A Case of Choroidal Metastasis from Renal Cell Carcinoma
Journal of the Korean Ophthalmological Society
;
: 880-885, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-45158
ABSTRACT
PURPOSE:
To report a rare case of choroidal metastasis from renal cell carcinoma. CASESUMMARY:
A 61-year-old man visited our clinic with the chief complaint of decreased vision in the right eye. Three years earlier, he underwent right nephrectomy due to renal cell carcinoma. Best corrected visual acuity was 0.2 in the right eye and 1.0 in the left eye. Fundoscopic examination of the right eye revealed a yellowish, dome-shaped elevated choroidal mass with serous retinal detachment, measuring 5.0 x 4.0 disc diameter and located lateral to the macular area. Systemic evaluations showed multiple lung and brain metastases. A diagnosis of choroidal metastasis from renal cell carcinoma was made for the right eye, and the patient received local treatments with oral sorafenib therapy, composed of subtenon triamcinolone injection and intravitreal ranibizumab injection. Tumor progression continued, and visual acuity declined to hand motion. Enucleation was recommended, but the patient refused and is on a regular follow-up after transpupillary thermotherapy.CONCLUSIONS:
Ocular manifestation may be the initial presenting sign of a recurrent tumor, and an extensive systemic evaluation for metastatic malignancy should be performed. The present example showed a rare case of choroidal metastasis from renal cell carcinoma.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Compostos de Fenilureia
/
Visão Ocular
/
Encéfalo
/
Descolamento Retiniano
/
Triancinolona
/
Carcinoma de Células Renais
/
Acuidade Visual
/
Seguimentos
/
Corioide
/
Niacinamida
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2012
Tipo de documento:
Artigo
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