Iris Metastasis as the First Sign of Small Cell Lung Carcinoma with Metastatic Involvement of the Mediastinum

Česká verzia

Authors: T. Jurečka ^1,2; Š. Skorkovská ¹; H. Čoupková ³; V. Postránecká ⁴
Authors place of work: Klinika nemocí očních a optometrie FN u sv. Anny a LF MU v Brně 2Oční klinika NeoVize, Brno 3Klinika komplexní onkologické péče, Masarykův onkologický ústav v Brně 4Klinika zobrazovacích metod FN u sv. Anny a LF MU v Brně ¹
Published in the journal: Klin Onkol 2009; 22(4): 179-182
Category: Case Reports

Summary

Backgrounds:
We present the case of small cell lung carcinoma metastatic to the iris, the course of the disease and management options.

Case:
A 69-year-old female was diagnosed with a solid, amelanotic iris mass in her left eye. Differential diagnostics and ancillary tests subsequently led to the diagnosis of disseminated small cell lung carcinoma. Systemic chemotherapy was indicated after fine needle biopsy verification of metastatic lung cancer. Iris metastasis responded well to the chemotherapy, its regression was observed and secondary open-angle glaucoma was controlled as well. Good visual functions were preserved during the treatment.

Conclusions:
Metastatic carcinoma of the iris may be the first sign of disseminated malignant disease. Small cell lung carcinoma iris metastasis can be treated with chemotherapy. This treatment preserved visual functions, which enhanced the patient‘s quality of life.

Key words:
iris metastasis – small cell lung carcinoma

Zdroje

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