A Case of Bilat. Choroidal Metastasis of Breast Invasive Ductal Carcinoma.

Lee, Jong Soo; Kim, Jong Hwan; Oum, Boo Sup

Case Report

Journal of the Korean Ophthalmological Society 1996;37(7):1211-1217.
Published online July 1, 1996.

A Case of Bilat. Choroidal Metastasis of Breast Invasive Ductal Carcinoma.

Jong Soo Lee, Jong Hwan Kim, Boo Sup Oum

Department of Ophthalmology, College of Medicine, Pusan University, Pusan, Korea.

양안 맥락막에 전이된 유방의 침윤성 관상암종 1예

이종수(Jong Soo Lee),김종환(Jong Hwan Kim),엄부섭(Boo Sup Oum)

Abstract

The most frequent primary site of metastatic tumors to the choroid is the breast in women and the bronchus in men. Invasive ductal carcinoma is the most common malignant tumor in breast, and it appears bilateral involvement, distant or adjacent lymph node metastasis. Metastatic tumors are more likely to occur multifocally in both eyes and have a definite predilection for the posterior segment and are most commonly located in the macular area. The patient with a metastatic tumor to the choroid may be asymptomatic or may experience painless blurred vision if the small mass or exudative retinal detachment involve the macula. In general, although the prognosis of the metastatic choroidal tumor for vision is usually good, the prognosis for life is poor. We experienced a case of choroidal metastasis with rib metastasis which had been treated with radical mastectomy and chemotherapy 2 years ago, because of multicentric and multifocal invasive ductal carcinoma of left breast. The patient had improvement of visual acuity and diminution of tumor size and extent of retinal detachment by radiotherapy.

Key Words: Breast carcinoma;Metastatic tumor;Radiotherapy