Cargando…

Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report

BACKGROUND: A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. CASE PRESENTATION...

Descripción completa

Detalles Bibliográficos
Autores principales: Yoshikawa, Tadanobu, Miyata, Kimie, Nakai, Tokiko, Ohbayashi, Chiho, Kaneko, Miki, Ogata, Nahoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970520/
https://www.ncbi.nlm.nih.gov/pubmed/29801472
http://dx.doi.org/10.1186/s12886-018-0795-1
_version_ 1783326147532029952
author Yoshikawa, Tadanobu
Miyata, Kimie
Nakai, Tokiko
Ohbayashi, Chiho
Kaneko, Miki
Ogata, Nahoko
author_facet Yoshikawa, Tadanobu
Miyata, Kimie
Nakai, Tokiko
Ohbayashi, Chiho
Kaneko, Miki
Ogata, Nahoko
author_sort Yoshikawa, Tadanobu
collection PubMed
description BACKGROUND: A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. CASE PRESENTATION: A-74-year-old woman presented with visual disturbance and an increased intraocular pressure (IOP) in the right eye. She had no history of systemic cancer. She was initially diagnosed with acute iritis from diabetes mellitus and secondary glaucoma. She underwent trabeculectomy because of the uncontrolled IOP. After the IOP was controlled, she presented thick iris with corectopia, iris hemorrhage, and white, frog spawn-like mass resembling fibrin in the anterior chamber. An analysis of an iris biopsy suggested that the iris mass was an adenocarcinoma. Examination by esophagogastroduodenoscopy revealed advanced gastric signet ring cell adenocarcinoma as the primary source for the iris tumor. CONCLUSIONS: We recommend that patients with acute iritis with atypical iris mass resembling fibrin and secondary glaucoma should be examined comprehensively for systemic tumors.
format Online
Article
Text
id pubmed-5970520
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-59705202018-05-30 Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report Yoshikawa, Tadanobu Miyata, Kimie Nakai, Tokiko Ohbayashi, Chiho Kaneko, Miki Ogata, Nahoko BMC Ophthalmol Case Report BACKGROUND: A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. CASE PRESENTATION: A-74-year-old woman presented with visual disturbance and an increased intraocular pressure (IOP) in the right eye. She had no history of systemic cancer. She was initially diagnosed with acute iritis from diabetes mellitus and secondary glaucoma. She underwent trabeculectomy because of the uncontrolled IOP. After the IOP was controlled, she presented thick iris with corectopia, iris hemorrhage, and white, frog spawn-like mass resembling fibrin in the anterior chamber. An analysis of an iris biopsy suggested that the iris mass was an adenocarcinoma. Examination by esophagogastroduodenoscopy revealed advanced gastric signet ring cell adenocarcinoma as the primary source for the iris tumor. CONCLUSIONS: We recommend that patients with acute iritis with atypical iris mass resembling fibrin and secondary glaucoma should be examined comprehensively for systemic tumors. BioMed Central 2018-05-25 /pmc/articles/PMC5970520/ /pubmed/29801472 http://dx.doi.org/10.1186/s12886-018-0795-1 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Yoshikawa, Tadanobu
Miyata, Kimie
Nakai, Tokiko
Ohbayashi, Chiho
Kaneko, Miki
Ogata, Nahoko
Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title_full Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title_fullStr Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title_full_unstemmed Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title_short Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
title_sort iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970520/
https://www.ncbi.nlm.nih.gov/pubmed/29801472
http://dx.doi.org/10.1186/s12886-018-0795-1
work_keys_str_mv AT yoshikawatadanobu irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport
AT miyatakimie irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport
AT nakaitokiko irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport
AT ohbayashichiho irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport
AT kanekomiki irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport
AT ogatanahoko irismetastasisprecedingdiagnosisofgastricsignetringcelladenocarcinomaacasereport