[Choroidal metastasis of gastric adenocarcinoma as a first sign of systemic disease recurrence: case report]
| Autor: | Larissa Pereira da Ponte Amadei, Paulo de Tarso Ponte Pierre Filho, Paulo Rogers Parente Gomes, Daniel Hardy Melo, Andréa Gifoni Siebra de Holanda |
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| Rok vydání: | 2008 |
| Předmět: |
Systemic disease
medicine.medical_specialty genetic structures medicine.medical_treatment Enucleation Adenocarcinoma Metastasis Gastric adenocarcinoma Stomach Neoplasms medicine Humans business.industry Choroid Neoplasms General Medicine Middle Aged medicine.disease eye diseases Surgery Ophthalmology medicine.anatomical_structure Optic nerve Orbital Neoplasms Gastrectomy Female sense organs Choroid Neoplasm Recurrence Local business |
| Zdroj: | Arquivos brasileiros de oftalmologia. 73(5) |
| ISSN: | 1678-2925 |
| Popis: | To describe a patient with unilateral metastatic choroidal gastric adenocarcinoma as a first sign of systemic dissemination. A 54-year-old woman presented with a 7-month history of progressive pain and decrease in vision in her left eye. She had undergone total gastrectomy due to gastric adenocarcinoma two years previously. Examination of the left eye revealed an elevated creamy yellow choroidal tumor infiltrating the macular area and extending around the optic nerve head, suggesting metastasis. Treatment was enucleation of the affected eye. There was orbital recurrence of the tumor, leading to exenteration. Orbital and intraocular metastasis are generally associated with a bad prognosis. This patient represents a rare occurrence of metastatic gastric adenocarcinoma to the choroid, developing as a first sign of systemic recurrence. |
| Databáze: | OpenAIRE |
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