Choroidal metastasis of gastric adenocarcinoma as a first sign of systemic disease recurrence: case report

Arquivos Brasileiros de Oftalmologia

Daniel Hardy Melo²  Paulo De Tarso Ponte Pierre Filho¹  Paulo Rogers Parente Gomes¹  Andréa Gifoni Siebra De Holanda¹  Larissa Pereira Da Ponte Amadei¹ 

[1] ,Santa Casa of Sobral Otorhinolaryngology and Head and Neck Surgery Department Sobral CE ,Brazil

关键词: Stomach neoplasms;    Adenocarcinoma;    Choroid neoplasms;    Neoplasm metastasis;    Neoplasm recurrence;    local;    Orbit evisceration;    Humans;    Female;    Middle aged;    Case reports;    Neoplasias gástricas;    Adenocarcinoma;    Neoplasias da coróide;    Metástase neoplásica;    Recidiva local de neoplasia;    Exenteração orbitária;    Humanos;    Feminino;    Meia-idade;    Relatos de casos;   

DOI  :  10.1590/S0004-27492010000500017

来源: SciELO

【 摘 要 】

To describe a patient with unilateral metastatic choroidal gastric adenocarcinoma as a first sign of systemic dissemination. A 54-year-old woman presented with a 7-month history of progressive pain and decrease in vision in her left eye. She had undergone total gastrectomy due to gastric adenocarcinoma two years previously. Examination of the left eye revealed an elevated creamy yellow choroidal tumor infiltrating the macular area and extending around the optic nerve head, suggesting metastasis. Treatment was enucleation of the affected eye. There was orbital recurrence of the tumor, leading to exenteration. Orbital and intraocular metastasis are generally associated with a bad prognosis. This patient represents a rare occurrence of metastatic gastric adenocarcinoma to the choroid, developing as a first sign of systemic recurrence.

【 授权许可】

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