Authors :
Musallam Mohammeda; OuiameNabou; Soufiane Afkir; Manal Chafik; Rachid Sekhsoukh; Afafe Thouil, Hatim Kouismi
Volume/Issue :
Volume 7 - 2022, Issue 5 - May
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3b24jsE
DOI :
https://doi.org/10.5281/zenodo.6644026
Abstract :
Primary lung cancer is the leading cause
of choroidal metastasis for men, but its revelation by the
latter is rare.
Case presentation:- The reported observation treats the
case of a 50-year-old man who smoked twenty-four packyears, with no particular pathological history, who
initially consulted for a rapidly progressive decline in the
visual acuity of the left eye. The ophthalmic exam and
the explorations concluded to the diagnosis of choroidal
metastasis of a primary bronchial adenocarcinoma,
which was confirmed by the bronchial biopsy.
Clinical discussion:- It is the decline in visual acuity that
motivated our patient to consult, which is usually rare
since choroidal metastases are often asymptomatic. The
diagnosis of choroidal metastasis is usually based on
bundle of clinical and radiological arguments. Retinal
angiography, ocular ultrasound and MRI visualize nonspecific retinal lesions. The aim of the treatment in
choroidal metastases is to preserve visual function. Local
radiotherapy has proven its effectiveness and allows
regression of symptoms.
Conclusion: Before every choroidal metastasis, the
search for primary lung cancer must be systematic. The
main therapeutic modalities include systemic and local
treatments. Currently, the feasibility and effectiveness of
various treatment options are controversial around the
world.
Keywords :
Metastasis, Choroid, lung cancer, adenocarcinoma, radiotherapy
Primary lung cancer is the leading cause
of choroidal metastasis for men, but its revelation by the
latter is rare.
Case presentation:- The reported observation treats the
case of a 50-year-old man who smoked twenty-four packyears, with no particular pathological history, who
initially consulted for a rapidly progressive decline in the
visual acuity of the left eye. The ophthalmic exam and
the explorations concluded to the diagnosis of choroidal
metastasis of a primary bronchial adenocarcinoma,
which was confirmed by the bronchial biopsy.
Clinical discussion:- It is the decline in visual acuity that
motivated our patient to consult, which is usually rare
since choroidal metastases are often asymptomatic. The
diagnosis of choroidal metastasis is usually based on
bundle of clinical and radiological arguments. Retinal
angiography, ocular ultrasound and MRI visualize nonspecific retinal lesions. The aim of the treatment in
choroidal metastases is to preserve visual function. Local
radiotherapy has proven its effectiveness and allows
regression of symptoms.
Conclusion: Before every choroidal metastasis, the
search for primary lung cancer must be systematic. The
main therapeutic modalities include systemic and local
treatments. Currently, the feasibility and effectiveness of
various treatment options are controversial around the
world.
Keywords :
Metastasis, Choroid, lung cancer, adenocarcinoma, radiotherapy
