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Solitary Choroidal Metastasis as the First Sign of Metastatic Lung Carcinoid
Klaus-Martin Kreusel, MD;
Norbert Bornfeld, MD;
Norbert Hosten, MD;
Thomas Wiegel, MD;
Michael H. Foerster, MD
Berlin, Germany
Corresponding author: Klaus-Martin Kreusel, MD, Augenklinik, Klinikum Benjamin Franklin, Hindenburgdamm 30, D-12200 Berlin, Germany.
Arch Ophthalmol. 1998;116:1396-1397.
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A 65-YEAR-OLD white man had a progressive loss of visual field in the superotemporal quadrant of his right eye. He had laser photocoagulation of a juxtafoveal choroidal neovascularization in his right eye 18 months ago and had a macular scar in his left eye due to exudative age-related maculopathy for 3 years. Visual acuity was 16/20 OD and 20/400 OS. On ophthalmic examination, his right eye showed a highly elevated, orange choroidal mass resembling choroidal melanoma in the inferonasal quadrant (Figure 1). The tumor demonstrated lower signal intensities on magnetic resonance imaging by T1 compared with the signals expected for choroidal melanoma (Figure 2 and Figure 3). The lesion was not present 18 months earlier during laser photocoagulation. Thus, rapid tumor growth was assumed and metastasis was suspected. Computed tomography . . . [Full Text of this Article]COMMENT
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Isidori et al.
J. Clin. Endocrinol. Metab. 2002;87:1627-1633.
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