A Case of Choroidal Metastasis Caused by Lung Cancer.

Oh, Jae Hyun; Ko, Sang Jun; Yang, Yun Sik; Choi, Chang Wook

doi:2017.58.1.106

J Korean Ophthalmol Soc > Volume 58(1); 2017 > Article

Case Report

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

오재현^1,2⋅고상준^1,2⋅양연식^1,2⋅최창욱^1,2

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