Cargando…
A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report
Choroid metastasis is the initial presentation of pleomorphic carcinoma (PC) of the lung. PC is classified as poorly differentiated non-small cell lung carcinoma. It has a tendency to metastasize early and has a poor response to chemotherapy, which often results in poor prognosis. We report the case...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8226557/ https://www.ncbi.nlm.nih.gov/pubmed/34071184 http://dx.doi.org/10.3390/medicina57060539 |
_version_ | 1783712315153055744 |
---|---|
author | Feng, Kathy-Ming Chen, Yi-Hao Chen, Jiann-Torng Lin, Li-Fan Tsai, Wen-Chiuan Chen, Ching-Long |
author_facet | Feng, Kathy-Ming Chen, Yi-Hao Chen, Jiann-Torng Lin, Li-Fan Tsai, Wen-Chiuan Chen, Ching-Long |
author_sort | Feng, Kathy-Ming |
collection | PubMed |
description | Choroid metastasis is the initial presentation of pleomorphic carcinoma (PC) of the lung. PC is classified as poorly differentiated non-small cell lung carcinoma. It has a tendency to metastasize early and has a poor response to chemotherapy, which often results in poor prognosis. We report the case of a 63-year-old woman with a one-month history of deteriorating vision in the left eye. Fundus examination, fluorescein angiography, indocyanine green angiography, and B-scan sonography demonstrated choroidal metastasis of the left eye. Positron emission tomography/computed tomography (PET/CT) revealed a tumor with increased uptake in the left upper lung. Subsequent bronchoscopic biopsy confirmed a pleomorphic carcinoma of the lungs. Choroid metastasis as an initial presentation of PC in the lung is rare. Usually, it represents the late course of disseminated disease with hematogenous spread. Prompt diagnosis is imperative for patients to immediately initiate treatment. |
format | Online Article Text |
id | pubmed-8226557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82265572021-06-26 A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report Feng, Kathy-Ming Chen, Yi-Hao Chen, Jiann-Torng Lin, Li-Fan Tsai, Wen-Chiuan Chen, Ching-Long Medicina (Kaunas) Case Report Choroid metastasis is the initial presentation of pleomorphic carcinoma (PC) of the lung. PC is classified as poorly differentiated non-small cell lung carcinoma. It has a tendency to metastasize early and has a poor response to chemotherapy, which often results in poor prognosis. We report the case of a 63-year-old woman with a one-month history of deteriorating vision in the left eye. Fundus examination, fluorescein angiography, indocyanine green angiography, and B-scan sonography demonstrated choroidal metastasis of the left eye. Positron emission tomography/computed tomography (PET/CT) revealed a tumor with increased uptake in the left upper lung. Subsequent bronchoscopic biopsy confirmed a pleomorphic carcinoma of the lungs. Choroid metastasis as an initial presentation of PC in the lung is rare. Usually, it represents the late course of disseminated disease with hematogenous spread. Prompt diagnosis is imperative for patients to immediately initiate treatment. MDPI 2021-05-28 /pmc/articles/PMC8226557/ /pubmed/34071184 http://dx.doi.org/10.3390/medicina57060539 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Feng, Kathy-Ming Chen, Yi-Hao Chen, Jiann-Torng Lin, Li-Fan Tsai, Wen-Chiuan Chen, Ching-Long A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title | A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title_full | A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title_fullStr | A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title_full_unstemmed | A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title_short | A Pulmonary Pleomorphic Carcinoma Patient with Exudative Retinal Detachment Secondary to Choroid Metastasis as Initial Presentation—A Case Report |
title_sort | pulmonary pleomorphic carcinoma patient with exudative retinal detachment secondary to choroid metastasis as initial presentation—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8226557/ https://www.ncbi.nlm.nih.gov/pubmed/34071184 http://dx.doi.org/10.3390/medicina57060539 |
work_keys_str_mv | AT fengkathyming apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenyihao apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenjianntorng apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT linlifan apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT tsaiwenchiuan apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenchinglong apulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT fengkathyming pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenyihao pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenjianntorng pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT linlifan pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT tsaiwenchiuan pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport AT chenchinglong pulmonarypleomorphiccarcinomapatientwithexudativeretinaldetachmentsecondarytochoroidmetastasisasinitialpresentationacasereport |