Choroidal metastasis of gastric adenocarcinoma as a first sign of systemic disease recurrence: case report

To describe a patient with unilateral metastatic choroidal gastric adenocarcinoma as a first sign of systemic dissemination. A 54-year-old woman presented with a 7-month history of progressive pain and decrease in vision in her left eye. She had undergone total gastrectomy due to gastric adenocarcin...

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Bibliographic Details
Published in:Arquivos brasileiros de oftalmologia 2010-09, Vol.73 (5), p.467-468
Main Authors: Melo, Daniel Hardy, Pierre Filho, Paulo de Tarso Ponte, Gomes, Paulo Rogers Parente, Holanda, Andréa Gifoni Siebra de, Amadei, Larissa Pereira da Ponte
Format: Article
Language:por ; eng
Subjects:
Adenocarcinoma - secondary
Choroid Neoplasms - secondary
Choroid Neoplasms - surgery
Female
Humans
Middle Aged
Neoplasm Recurrence, Local
Orbital Neoplasms - secondary
Stomach Neoplasms - pathology
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Summary:To describe a patient with unilateral metastatic choroidal gastric adenocarcinoma as a first sign of systemic dissemination. A 54-year-old woman presented with a 7-month history of progressive pain and decrease in vision in her left eye. She had undergone total gastrectomy due to gastric adenocarcinoma two years previously. Examination of the left eye revealed an elevated creamy yellow choroidal tumor infiltrating the macular area and extending around the optic nerve head, suggesting metastasis. Treatment was enucleation of the affected eye. There was orbital recurrence of the tumor, leading to exenteration. Orbital and intraocular metastasis are generally associated with a bad prognosis. This patient represents a rare occurrence of metastatic gastric adenocarcinoma to the choroid, developing as a first sign of systemic recurrence.
ISSN:0004-2749
1678-2925
DOI:10.1590/S0004-27492010000500017