Palliative Radiation Therapy for Choroidal Metastases: A Report of Three Cases

Takashige Kiyota; Shoko Takata; Akira Matsumoto; Makoto Otsuka; Maho Itotani; Toru Adachi; Ryoko Oki; Kenichi Kimoto; Atsushi Osoegawa; Kenji Sugio; Kazuo Nishikawa; Haruto Nishida; Tsutomu Daa; Yoshiki Asayama

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Palliative Radiation Therapy for Choroidal Metastases: A Report of Three Cases

VernacularTitle:脈絡膜転移に対して緩和照射を施行した3例
Author: Takashige KIYOTA ¹ ; Shoko TAKATA ² ; Akira MATSUMOTO ² ; Makoto OTSUKA ¹ ; Maho ITOTANI ³ ; Toru ADACHI ³ ; Ryoko OKI ³ ; Kenichi KIMOTO ³ ; Atsushi OSOEGAWA ⁴ ; Kenji SUGIO ⁴ ; Kazuo NISHIKAWA ⁵ ; Haruto NISHIDA ⁶ ; Tsutomu DAA ⁶ ; Yoshiki ASAYAMA ²
Author Information

1. Department of Radiation Oncology, Oitaken Kouseiren Tsurumi Hospital
2. Department of Radiology, Oita University Faculty of Medicine
3. Department of Ophthalmology, Oita University Faculty of Medicine
4. Department of Thoracic Surgery, Oita University Faculty of Medicine
5. Department of Medical Oncology and Hematology, Oita University Faculty of Medicine
6. Department of Diagnostic Pathology, Oita University Faculty of Medicine
Keywords: choroidal metastasis; eye pain; radiation therapy; palliative irradiation
From:Palliative Care Research 2022;17(1):17-22
CountryJapan
Language:Japanese
Abstract: We here report three cases of choroidal metastases with ocular pain and visual symptoms treated with palliative irradiation. Case 1: A 71-year-old woman was treated with chemotherapy for multiple metastases after surgery for right breast cancer. Sixteen years after surgery, a right choroidal metastasis with ocular pain and visual disturbance was detected. Palliative irradiation to this lesion achieved reduction in ocular pain and shrank the tumor. Case 2: A 54-year-old man presented with right ocular pain and abnormal vision and was diagnosed as having right lung cancer with multiple systemic metastases. Palliative irradiation to a right choroidal metastasis achieved reduction in ocular pain and shrank the tumor. Case 3: A 71-year-old woman developed left eye pain 17 months after surgery for lung cancer in the right upper lobe. She was diagnosed as having a left choroidal metastasis. After palliative irradiation, the tumor shrank and the left eye pain temporarily resolved. Palliative radiation therapy for choroidal metastasis with ocular pain and visual symptoms seems to be effective in improving symptoms.