Choroidal metastasis from adenoid cystic carcinoma of the lung.

Abstract

PURPOSE:

We report a case of a choroidal metastasis from an adenoid cystic carcinoma of the lung. Interventional case report.

DESIGN:

A 40-year old man, 9 months' status postresection of a bronchial adenoid cystic carcinoma, was diagnosed by clinical evaluation and fine-needle aspiration biopsy and treated with palladium-103 ophthalmic plaque brachytherapy.

RESULTS:

This unusual patient with uveal metastasis from adenoid cystic carcinoma presented with decreased vision in the right eye and a diaphanous amelanotic choroidal tumor in the superotemporal macula. Ultrasound revealed a dome-shaped tumor that measured 4.0 mm in apical height and 11 x 10 mm in basal diameter. Fluorescein angiography revealed a double circulation and late intense subretinal fluorescence. Plaque brachytherapy provided local control and preservation of the eye.

CONCLUSION:

Bronchogenic adenoid cystic carcinoma can metastasize to the choroid.

• Authors: Paul T Finger, Jorge Prado Marin, Anthony M Berson, Sanjay Kedhar, Steven A McCormick
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 135 Issue 2 Pg. 239-41 (Feb 2003) ISSN: 0002-9394 [Print] United States
• PMID: 12566038 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Radioisotopes
• Palladium

Topics

• Adult
• Brachytherapy
• Bronchial Neoplasms (pathology, radiotherapy)
• Carcinoma, Adenoid Cystic (radiotherapy, secondary)
• Choroid Neoplasms (radiotherapy, secondary)
• Fluorescein Angiography
• Humans
• Male
• Palladium (therapeutic use)
• Radioisotopes (therapeutic use)
• Visual Acuity