J Korean Ophthalmol Soc > Volume 56(9); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(9):1464-1466.
DOI: https://doi.org/10.3341/jkos.2015.56.9.1464    Published online September 15, 2015.
Pigmented Choroidal Metastases Masquerading as Choroidal Melanoma.
Woo Beom Shin, Min Kyo Kim, Ji Ye Kim, Sung Chul Lee, Hye Sun Kim
1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
2Korea Siloam Eye Hospital, Seoul, Korea. capella0226@gmail.com
3Korea Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
맥락막 흑색종으로 오인된 색소성 맥락막전이암 1예
연세대학교 의과대학 안과학교실 시기능개발 연구소1, 실로암 안과병원2, 연세대학교 의과대학 세브란스병원 병리학교실3
Received: 27 March 2015   • Revised: 15 May 2015   • Accepted: 10 July 2015
To report the first case of pigmented choroidal metastases without enucleation diagnosed with fine-needle aspiration biopsy. CASE SUMMARY: A 47-year-old male was referred to our clinic with a suspected diagnosis of choroidal melanoma in his left eye. Positron emission tomography-computer tomography used to evaluate systemic metastases revealed lung cancer. Pathology of the detected lung mass was primary lung neuroendocrine tumor. To differentiate choroidal metastasis and primary choroidal melanoma, we performed a fine-needle aspiration biopsy for choroidal tumors. The cytology showed results favoring metastatic atypical carcinoid and the patient was started on systemic chemotherapy. CONCLUSIONS: All pigmented choroidal tumors are not choroidal melanomas and choroidal metastases may be pigmented. The present case suggests that proper systemic evaluation and biopsy for suspected choroidal tumor could be helpful in diagnosis.
Key Words: Carcinoid tumors;Choroidal melanoma;Choroidal metastases;Lung neuroendocrine tumor

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