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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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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 |
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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 |
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