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Liu X, Ma J, Su ZT, Zhang L, Fang XY, Wang Y. Choroidal metastasis resembling hemangioma on angiogram as initial manifestation of lung adenocarcinoma. Int J Ophthalmol 2022; 15:1203-1206. [PMID: 35919324 DOI: 10.18240/ijo.2022.07.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 01/25/2022] [Indexed: 12/12/2022] Open
Affiliation(s)
- Xin Liu
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
| | - Jian Ma
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
| | - Zhi-Tao Su
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
| | - Li Zhang
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
| | - Xiao-Yun Fang
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
| | - Yao Wang
- Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
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Haen SP, Stroebel P, Marx A, Suesskind D, Fend F, Reichmann U, Kopp HG, Kanz L, Mayer F. Choroidal metastases from thymic carcinoma during pregnancy: Case Report. BMC Cancer 2015; 15:972. [PMID: 26675671 PMCID: PMC4682268 DOI: 10.1186/s12885-015-1968-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Accepted: 12/01/2015] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Rare sites of metastases, atypical symptoms and paraneoplastic syndromes are often neglected or misinterpreted, especially when they represent early symptoms of an underlying malignant disease. Hence, an interdisciplinary approach to these patients is essential to avoid tumor progression and metastatic spread in order to provide curative treatment options to the patients. We here report the case of a young woman presenting with visual loss which led to diagnosis of a thymic carcinoma. CASE PRESENTATION A 28-year old white woman presented with subacute loss of vision in the last trimester of her first pregnancy which was first interpreted as an exacerbation of a pre-existing dermatomyositis and treated with steroids. After failure of steroid therapy choroidal metastases from an undifferentiated thymic carcinoma were diagnosed. This also shed a new light on the dermatomyositis the patient had been suffering from for seven years possibly representing a paraneoplastic syndrome from the tumor. Despite aggressive chemotherapy, the patient died from progressive disease eight years after first onset of dermatomyositis and 14 months after initial diagnosis of the thymic carcinoma. CONCLUSIONS Choroidal metastases from a thymic carcinoma have never been reported before but should be included into the differential diagnosis of choroidal masses.
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Affiliation(s)
- Sebastian P Haen
- Medizinische Universitaetsklinik Tuebingen, Innere Medizin II fuer Onkologie, Haematologie, Immunologie, Rheumatologie und Pulmologie, Otfried Mueller Str. 10, D-72076, Tuebingen, Germany. .,Interfakultaeres Institut fuer Zellbiologie, Abteilung Immunologie, Auf der Morgenstelle 15, D-72076, Tuebingen, Germany.
| | - Philipp Stroebel
- Pathologisches Institut, Universitaetsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, D-68167, Mannheim, Germany. .,Institut fuer Pathologie, Universitaetsmedizin Goettingen, Robert-Koch-Str. 40, D-37075, Goettingen, Germany.
| | - Alexander Marx
- Pathologisches Institut, Universitaetsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, D-68167, Mannheim, Germany.
| | - Daniela Suesskind
- Departement fuer Augenheilkunde, Universitaetsklinikum Tuebingen, Schleichstr. 12, D-72076, Tuebingen, Germany.
| | - Falko Fend
- Institut fuer Pathologie, Abteilung fuer Allgemeine Pathologie und Pathologische Anatomie, Universitaetsklinikum Tuebingen, Liebermeisterstr. 8, D-72076, Tuebingen, Germany.
| | - Ursula Reichmann
- Radioonkologische Klinik, Universitaetsklinikum Tuebingen, Hoppe-Seyler-Str. 3, D-72076, Tuebingen, Germany.
| | - Hans-Georg Kopp
- Medizinische Universitaetsklinik Tuebingen, Innere Medizin II fuer Onkologie, Haematologie, Immunologie, Rheumatologie und Pulmologie, Otfried Mueller Str. 10, D-72076, Tuebingen, Germany.
| | - Lothar Kanz
- Medizinische Universitaetsklinik Tuebingen, Innere Medizin II fuer Onkologie, Haematologie, Immunologie, Rheumatologie und Pulmologie, Otfried Mueller Str. 10, D-72076, Tuebingen, Germany.
| | - Frank Mayer
- Medizinische Universitaetsklinik Tuebingen, Innere Medizin II fuer Onkologie, Haematologie, Immunologie, Rheumatologie und Pulmologie, Otfried Mueller Str. 10, D-72076, Tuebingen, Germany.
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Taubenslag KJ, Kim SJ, Attia A, Abel TW, Nickols HH, Ancell KK, Daniels AB. Retinal metastasis from unknown primary: diagnosis, management, and clinicopathologic correlation. Digit J Ophthalmol 2015; 21:1-10. [PMID: 27330472 DOI: 10.5693/djo.02.2015.04.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A 75-year-old man was incidentally found to have a yellow-white retinal lesion with scattered hemorrhages. He was empirically treated elsewhere for viral retinitis without resolution and later transferred to the Vanderbilt Eye Institute, where retinal biopsy with silicone oil tamponade showed retinal metastasis. He had no prior history of cancer, and multiple systemic imaging evaluations failed to identify a primary site. Histopathology and immunohistochemistry of the biopsy were consistent with non-small-cell lung carcinoma. Due to the radiation-attenuating properties of silicone oil, the patient underwent silicone oil removal prior to receiving external beam radiotherapy (EBRT). The retinal metastasis responded completely to EBRT, and at final follow-up, 18 months after initial presentation, no primary tumor has been identified.
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Affiliation(s)
- Kenneth J Taubenslag
- Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Stephen J Kim
- Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Albert Attia
- Department of Radiation Oncology, Vanderbilt University Medical Center;; Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center
| | - Ty W Abel
- Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center;; Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center
| | - Hilary Highfield Nickols
- Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center;; Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center
| | - Kristin K Ancell
- Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center;; Medical Oncology, Department of Medicine, Vanderbilt University Medical Center
| | - Anthony B Daniels
- Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee;; Department of Radiation Oncology, Vanderbilt University Medical Center;; Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center;; Department of Cancer Biology, Vanderbilt University, Nashville, Tennessee
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