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Case Reports in Oncological Medicine
Volume 2014, Article ID 858265, 5 pages
http://dx.doi.org/10.1155/2014/858265
Case Report

Bilateral Choroidal Metastasis from Non-Small Cell Lung Cancer

1Division of Hematology/Oncology, Department of Medicine, University of Cincinnati, OH 45069, USA
2Division of Pathology, Department of Medicine, University of Cincinnati, OH 45069, USA

Received 3 June 2014; Accepted 1 September 2014; Published 14 September 2014

Academic Editor: Francesco A. Mauri

Copyright © 2014 Tariq Namad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Breast and lung cancers are the most common primary neoplasms to manifest with choroidal metastases. The incidence of choroidal metastases from metastatic lung cancer was reported to be 2–6.7%. We report a case of bilateral choroidal metastasis from non-small cell lung cancer. A 59-year-old Caucasian female patient, never a smoker, was diagnosed with stage IV lung adenocarcinoma metastatic to the pleura, bones, and the brain. Her initial scan of the chest showed innumerable soft tissue nodules and mediastinal adenopathy compatible with metastatic disease. Her initial brain MRI showed numerous small enhancing lesions consistent with extensive disease. Unfortunately, during her follow-up visits, she presented with bulge on her left eye. Simultaneously, her follow-up chest scan showed increase in the size of the lung nodules. She continued to have a reasonable performance status at that time, except for mild increase in her dyspnea. The choroidal metastases require a multidisciplinary care and should be among the differential patients with malignancy who present with ocular symptoms.