Choroidal metastasis from breast cancer in a male patient treated successfully with systemic chemotherapy
| Autor: | Hela Rifi, Bassem Allani, Sarra Krimi, Mouna Ayadi, Aymen Lagha, Amel Mezlini, Leila Elmatri, L. Largueche, Henda Raies, Nesrine Chraiet |
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| Rok vydání: | 2012 |
| Předmět: |
Past medical history
medicine.medical_specialty Visual acuity genetic structures business.industry medicine.medical_treatment medicine.disease eye diseases Metastasis Surgery Radiation therapy medicine.anatomical_structure Breast cancer Blurred vision medicine sense organs Choroid medicine.symptom Breast carcinoma business |
| Zdroj: | International Journal of Case Reports and Images. 3:6 |
| ISSN: | 0976-3198 |
| Popis: | Introduction: To present a case of chemotherapeutic regression of metastasis of breast carcinoma to the choroid in a male patient. Case Report: A 63-year-old male, with a past medical history of breast cancer, presented with blurred vision and progressive loss of visual acuity. Fundoscopy of the right eye revealed a choroidal mass in the upper temporal arcade associated with pigment epithelium impairment. Optic disc was normal and macular edema was not present. The patient was treated with systemic chemotherapy (epirubicin, cyclophosphamide, 5-fluorouracil), every three weeks, for six cycles. Five months into treatment, the patient reported a partial improvement in visual symptoms. A complete regression of the choroidal mass was noted with both magnetic resonance imaging and fundoscopy. Conclusion: In male as in female patients, breast carcinoma may metastasize to the choroid. Such metastasis must be suspected whenever a patient with a past history of breast cancer suffers from impaired vision. An In male as in female patients, breast carcinoma may metastasize to the choroid. Such metastasis must be suspected whenever a patient with a past history of breast cancer suffers from impaired vision. An appropriate ophthalmologic examination including fundoscopy should be performed. Treatment strategy is still based essentially on radiotherapy and should be modified individually depending on size, localization and presence of metastases to other organs and general condition of the patient. |
| Databáze: | OpenAIRE |
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