Assuntos
Antineoplásicos Alquilantes/efeitos adversos , Retina/efeitos dos fármacos , Doenças Retinianas/induzido quimicamente , Sesquiterpenos/efeitos adversos , Idoso , Neoplasias da Mama/tratamento farmacológico , Eletrorretinografia , Potenciais Evocados Visuais , Feminino , Humanos , Pessoa de Meia-Idade , Retina/fisiopatologia , Doenças Retinianas/fisiopatologia , Campos Visuais/efeitos dos fármacosRESUMO
PURPOSE: To describe a patient with choroidal metastasis from renal cell carcinoma that spontaneously regressed after nephrectomy. DESIGN: Interventional case report. METHOD: A 48-year-old Hispanic woman presented with reduced vision in the left eye attributable to an elevated choroidal lesion and associated exudative retinal detachment. Oncology workup revealed a left kidney renal cell carcinoma with pulmonary metastases. The patient underwent primary nephrectomy, without specific treatment of choroidal or pulmonary metastases. RESULTS: The metastatic choroidal lesion regressed and the retinal detachment completely resolved, as evidenced by fundus photographs and ultrasonography. CONCLUSIONS: Choroidal metastasis from renal cell carcinoma may spontaneously regress after removal of the primary tumor.
