Choroidal metastasis from hepatocellular carcinoma, diagnosed by fine needle aspiration biopsy and treated by iodine-125 brachytherapy
| Autor: | Kiran Turaka, Hormoz Ehya, Jerry A. Shields, Lalkrushna Malaviya, Carol L. Shields |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Pathology Carcinoma Hepatocellular medicine.medical_treatment Brachytherapy Biopsy Fine-Needle Visual Acuity Metastasis Iodine Radioisotopes Cellular and Molecular Neuroscience Biopsy medicine Carcinoma Humans Ultrasonography medicine.diagnostic_test business.industry Plaque radiotherapy Choroid Neoplasms Liver Neoplasms Retinal detachment Middle Aged medicine.disease eye diseases Sensory Systems Ophthalmology Fine-needle aspiration medicine.anatomical_structure Quality of Life Choroid Radiology business |
| Zdroj: | Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 249(7) |
| ISSN: | 1435-702X |
| Popis: | Purpose To report a rare case of choroidal metastasis from hepatocellular carcinoma. Methods A 63-year-old man with known hepatocellular carcinoma (HCC) and treated clavicular metastasis noted reduced visual acuity in the right eye. He was found to have an amelanotic choroidal tumor measuring 18×14×9.3 mm and with retinal detachment. Fine needle aspiration biopsy confirmed metastatic HCC. Results The choroidal metastasis was treated with 5 days of iodine-125 plaque brachytherapy (3500 cGy to apex). Tumor regression to 2.6 mm thickness with resolution of retinal detachment and preservation of visual acuity at 20/ 40 at the 4-month follow-up was documented. Conclusions HCC metastasis to the choroid can be treated with focal plaque brachytherapy, with preservation of vision and quality of life. |
| Databáze: | OpenAIRE |
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