Korean J Pathol.  1999 Jun;33(6):471-473.

Choroidal Metastasis of Adenocarcinoma of the Lung: A case report

• Park SH
• Lee JH
• Moon JS
• Choi JS

Abstract

Choroidal metastatic carcinoma is very rare. We recently experienced a case of lung adenocarcinoma which presented to the clinic with ocular symptoms. This 57-year-old Korean male patient visited the department of ophthalmology due to decreased visual acuity and pain of the left eye. On MRI scan, a nodule was attached to the retina of the left eyeball. On simple chest radiograph, a large amount of pleural effusion was noted in the left pleural cavity. Emergency enucleation of the left eyeball was done with an impression of malignant melanoma causing an intractable ocular pain. Grossly, the lesion in the eyeball was rising from the choroid. On histologic examination, tumor cells formed many irregular, small gland-like structures. The tumor cells showed alcian blue-positive mucin in the cytoplasm and glandular lumens and were positive for CEA. Chest CT scan was performed postoperatively and showed a huge mass in the left lower lobe and multiple nodular opacities in both lung fields. Bronchoscopic biopsy revealed moderately differentiated adenocarcinoma similar to that of the eyeball.

Keyword

Choroidal metastasis; Lung cancer; Adenocarcinoma

MeSH Terms

Adenocarcinoma*
Biopsy
Choroid*
Cytoplasm
Emergencies
Humans
Lung Neoplasms
Lung*
Magnetic Resonance Imaging
Male
Melanoma
Middle Aged
Mucins
Neoplasm Metastasis*
Ophthalmology
Pleural Cavity
Pleural Effusion
Radiography, Thoracic
Retina
Tomography, X-Ray Computed
Visual Acuity
Mucins