J Korean Ophthalmol Soc > Volume 58(1); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(1):106-112.
DOI: https://doi.org/10.3341/jkos.2017.58.1.106    Published online January 15, 2017.
A Case of Choroidal Metastasis Caused by Lung Cancer.
Jae Hyun Oh, Sang Jun Ko, Yun Sik Yang, Chang Wook Choi
1Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, Korea. cuchoi77@hanmail.net
2Institute of Wonkwang Medical Science, Wonkwang University, Iksan, Korea.
폐암에 의한 맥락막 전이암 1예
오재현1,2⋅고상준1,2⋅양연식1,2⋅최창욱1,2
원광대학교 의과대학 안과학교실1, 원광대학교 원광의과학연구소2
Abstract
PURPOSE
To report a case of choroidal metastasis caused by lung cancer in a young female who had no history. CASE SUMMARY: A 31-year-old female presented with decreased vision for 1 week. Fundus examination revealed an orange colored choroidal tumor and serous retinal detachment at superotemporal area of the optic disc on the left eye. On chest X-ray, atypical pneumonia or hematogenous metastasis was shown. Additionally, mammography, chest-abdomen computed tomography, lumbar magnetic resonance imaging, and transbronchial lung biopsy were performed and the patient was finally diagnosed with adenocarcinoma. The patient started systemic chemotherapy and visual acuity improved after 1 month. Tumor size and subretinal fluid also decreased. The tumor disappeared 2 months later and there was no recurrence. CONCLUSIONS: There are only few cases in which choroidal metastasis was observed in a young female patient with no history who had decreased visual acuity and was later diagnosed with lung cancer. Authors report this case because a satisfactory result was obtained from chemotherapy alone.
Key Words: Chemotherapy;Choroidal metastasis;Lung cancer


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