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ABSTRACT: We report a case of a choroidal metastasis from an adenoid cystic carcinoma of the lung. Interventional case report.
A 40-year old man, 9 months' status postresection of a bronchial adenoid cystic carcinoma, was diagnosed by clinical evaluation and fine-needle aspiration biopsy and treated with palladium-103 ophthalmic plaque brachytherapy.
This unusual patient with uveal metastasis from adenoid cystic carcinoma presented with decreased vision in the right eye and a diaphanous amelanotic choroidal tumor in the superotemporal macula. Ultrasound revealed a dome-shaped tumor that measured 4.0 mm in apical height and 11 x 10 mm in basal diameter. Fluorescein angiography revealed a double circulation and late intense subretinal fluorescence. Plaque brachytherapy provided local control and preservation of the eye.
Bronchogenic adenoid cystic carcinoma can metastasize to the choroid.
American Journal of Ophthalmology 03/2003; 135(2):239-41. · 3.63 Impact Factor