Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer

Breast and lung cancers are the most common primary neoplasms to manifest with choroidal metastases. The incidence of choroidal metastases from metastatic lung cancer was reported to be 2–6.7%. We report a case of bilateral choroidal metastasis from non-small cell lung cancer. A 59-year-old Caucasia...

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Main Authors: Tariq Namad, Jiang Wang, Annemarie Tilton, Nagla Abdel Karim
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2014/858265
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author Tariq Namad
Jiang Wang
Annemarie Tilton
Nagla Abdel Karim
author_facet Tariq Namad
Jiang Wang
Annemarie Tilton
Nagla Abdel Karim
author_sort Tariq Namad
collection DOAJ
description Breast and lung cancers are the most common primary neoplasms to manifest with choroidal metastases. The incidence of choroidal metastases from metastatic lung cancer was reported to be 2–6.7%. We report a case of bilateral choroidal metastasis from non-small cell lung cancer. A 59-year-old Caucasian female patient, never a smoker, was diagnosed with stage IV lung adenocarcinoma metastatic to the pleura, bones, and the brain. Her initial scan of the chest showed innumerable soft tissue nodules and mediastinal adenopathy compatible with metastatic disease. Her initial brain MRI showed numerous small enhancing lesions consistent with extensive disease. Unfortunately, during her follow-up visits, she presented with bulge on her left eye. Simultaneously, her follow-up chest scan showed increase in the size of the lung nodules. She continued to have a reasonable performance status at that time, except for mild increase in her dyspnea. The choroidal metastases require a multidisciplinary care and should be among the differential patients with malignancy who present with ocular symptoms.
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spelling doaj-art-408c7f79ba43459aa9c9b9146658666f2025-02-03T00:59:48ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/858265858265Bilateral Choroidal Metastasis from Non-Small Cell Lung CancerTariq Namad0Jiang Wang1Annemarie Tilton2Nagla Abdel Karim3Division of Hematology/Oncology, Department of Medicine, University of Cincinnati, OH 45069, USADivision of Pathology, Department of Medicine, University of Cincinnati, OH 45069, USADivision of Hematology/Oncology, Department of Medicine, University of Cincinnati, OH 45069, USADivision of Hematology/Oncology, Department of Medicine, University of Cincinnati, OH 45069, USABreast and lung cancers are the most common primary neoplasms to manifest with choroidal metastases. The incidence of choroidal metastases from metastatic lung cancer was reported to be 2–6.7%. We report a case of bilateral choroidal metastasis from non-small cell lung cancer. A 59-year-old Caucasian female patient, never a smoker, was diagnosed with stage IV lung adenocarcinoma metastatic to the pleura, bones, and the brain. Her initial scan of the chest showed innumerable soft tissue nodules and mediastinal adenopathy compatible with metastatic disease. Her initial brain MRI showed numerous small enhancing lesions consistent with extensive disease. Unfortunately, during her follow-up visits, she presented with bulge on her left eye. Simultaneously, her follow-up chest scan showed increase in the size of the lung nodules. She continued to have a reasonable performance status at that time, except for mild increase in her dyspnea. The choroidal metastases require a multidisciplinary care and should be among the differential patients with malignancy who present with ocular symptoms.http://dx.doi.org/10.1155/2014/858265
spellingShingle Tariq Namad
Jiang Wang
Annemarie Tilton
Nagla Abdel Karim
Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
Case Reports in Oncological Medicine
title Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
title_full Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
title_fullStr Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
title_full_unstemmed Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
title_short Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer
title_sort bilateral choroidal metastasis from non small cell lung cancer
url http://dx.doi.org/10.1155/2014/858265
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AT annemarietilton bilateralchoroidalmetastasisfromnonsmallcelllungcancer
AT naglaabdelkarim bilateralchoroidalmetastasisfromnonsmallcelllungcancer