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Case Reports in Ophthalmological Medicine
Volume 2013, Article ID 786378, 3 pages
Case Report

RPE Adenocarcinoma as the Presenting Sign of Bronchogenic Carcinoma: Diagnostic Dilemma in the Management of a Case

1Department of Orbit, Oculoplasty & Ocular Oncology, Aravind Eye Hospital & Postgraduate Institute, Madurai, Tamil Nadu 652020, India
2Department of Ocular Pathology, Aravind Eye Hospital & Postgraduate Institute, Madurai,Tamil Nadu 652020, India

Received 2 February 2013; Accepted 28 February 2013

Academic Editors: J. F. Arevalo, A. A. Bialasiewicz, C. Giusti, and M. B. Parodi

Copyright © 2013 Namrata Adulkar 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.


Neoplasms of retinal pigment epithelium are rare and must be differentiated from choroidal melanoma. The possibility of a metastatic disease with possible primary sites as lung, breast, or kidney should be ruled out. Herein we report a case of adenocarcinoma arising from the RPE with a lung lesion suspicious of bronchogenic carcinoma. In this paper, ocular symptoms were the first sign of a systemic malignancy.