Pigmented Choroidal Metastases Masquerading as Choroidal Melanoma.
10.3341/jkos.2015.56.9.1464
- Author:
Woo Beom SHIN
1
;
Min Kyo KIM
;
Ji Ye KIM
;
Sung Chul LEE
;
Hye Sun KIM
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Carcinoid tumors;
Choroidal melanoma;
Choroidal metastases;
Lung neuroendocrine tumor
- MeSH:
Biopsy;
Biopsy, Fine-Needle;
Carcinoid Tumor;
Choroid*;
Diagnosis;
Drug Therapy;
Electrons;
Humans;
Lung;
Lung Neoplasms;
Male;
Melanoma*;
Middle Aged;
Neoplasm Metastasis*;
Neuroendocrine Tumors;
Pathology
- From:Journal of the Korean Ophthalmological Society
2015;56(9):1464-1466
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the first case of pigmented choroidal metastases without enucleation diagnosed with fine-needle aspiration biopsy. CASE SUMMARY: A 47-year-old male was referred to our clinic with a suspected diagnosis of choroidal melanoma in his left eye. Positron emission tomography-computer tomography used to evaluate systemic metastases revealed lung cancer. Pathology of the detected lung mass was primary lung neuroendocrine tumor. To differentiate choroidal metastasis and primary choroidal melanoma, we performed a fine-needle aspiration biopsy for choroidal tumors. The cytology showed results favoring metastatic atypical carcinoid and the patient was started on systemic chemotherapy. CONCLUSIONS: All pigmented choroidal tumors are not choroidal melanomas and choroidal metastases may be pigmented. The present case suggests that proper systemic evaluation and biopsy for suspected choroidal tumor could be helpful in diagnosis.
