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 col-ored 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 tomog-raphy, lumbar magnetic resonance imaging, and transbronchial lung biopsy were performed and the patient was finally diag-nosed 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.
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Figure 1.
Fundus photography and optical coherence tomography (OCT) of Left eye. (A) Yellow- white choroidal mass was seen. (B) Serous retinal detachment was observed (yellow arrows). (C) OCT shows choroidal mass (dome shaped elevation of neuro-sensory retina and retinal pigmented epithelium). (D) OCT shows serous retinal detachment.
![jkos-58-106f1.tif](/upload/SynapseXML/0035jkos/thumb/jkos-58-106f1.gif)
Figure 3.
Fluorescein and Indocyanine green (ICG) angiography of Left eye. (A) Early phase of fluorescein angiography. (B) Latent phase of fluorescein angiography. Fluorescein angiography showing progressive hyperfluorescence in subsequent phases and capillary dilatation at the border of the lesion with pinpoint leakages. (C) Early phase of ICG showing blocked hypofluorescence. (D) Late phase of ICG showing hyperfluorescence at the border of the lesion.
![jkos-58-106f3.tif](/upload/SynapseXML/0035jkos/thumb/jkos-58-106f3.gif)