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Improved Systemic Chemotherapy for Metastatic Testicular Choriocarcinoma Can Result in Excellent Prognosis for Life and Vision
Rahul N. Khurana, MD;
Cathy DiBernardo, RDMS;
James T. Handa, MD
Arch Ophthalmol. 2008;126(7):1008-1009.
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Although testicular germ cell carcinoma is rare, it is the most common malignant neoplasm in men between the ages of 15 and 35 years. We report a case of metastatic choriocarcinoma involving the choroid that was effectively treated with chemotherapy and had an excellent visual outcome.
Report of a Case
A 23-year-old healthy man visited the emergency department with decreased vision in his left eye. His best-corrected visual acuities were 20/20 OD and light perception OS. There was a left afferent pupillary defect. Slitlamp and fundus examination results of the right eye were unremarkable. Dilated funduscopic examination of the left eye was limited due to a vitreous hemorrhage. Standardized A-scan and contact B-scan ultrasonography of the left eye showed a large, irregularly shaped and structured, highly vascular mass lesion in the superotemporal quadrant (Figure 1). The mass measured approximately 19.0 x. . . [Full Text of this Article]
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