Choroidal Metastasis as Initial Presentation
in Adenocarcinoma of Lung: A Case Report
Published: March 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/22533.9446
Saroj Kumar Das, Tapan Kumar Sahoo, Sucheta Parija, Saroj Kumar Das Majumdar, Dillip Kumar Parida
1. Senior Resident, Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
2. Senior Resident, Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
3. Associate Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
4. Assistant Professor, Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
5. Professor, Department of Radiation Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Correspondence
Dr. Sucheta Parija,
Associate Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar-751019, Odisha, India.
E-mail: suchetaparija@yahoo.com
Vision impairment as an initial presentation detecting choroid metastasis in primary lung cancer is rare. Prevention or treatment of visual loss and improvement in quality of life can be achieved by treatment of intraocular metastasis. The survival of the patient in choroid metastasis with lung primary is poor with the median survival being 3.3 months. However, proper treatment may increase the quality of life and survival to an extent. We report a case of adenocarcinoma of lung in a female patient, presented initially with visual impairment as a result of choroidal metastasis and treated with external beam radiotherapy for choroidal metastasis followed by palliative chemotherapy. The patient was survived with improved vision and quality of life since last 12 months of diagnosis.
[
FULL TEXT ] | [ PDF]