Abstract
The most common type of intraocular tumor in adults is the metastatic variety, with the choroid as the typical site of involvement. The case of a patient with non-small cell lung cancer, who presented with choroidal metastasis, is described in the current report. In addition, the limitation of using a chest X-ray to identify a large primary lung lesion is highlighted. A 71-year-old female that presented with a choroidal mass lesion is described in the current report. A chest X-ray was conducted and was considered to be normal following detailed investigation, however, a computed tomography (CT) scan of the thorax revealed a large lobulated mass in the right upper lobe. On further histopathological analysis, the patient was diagnosed with a non-small cell lung carcinoma. Thus, when a large choroidal lesion and overlying exudative retinal detachment is observed, a diagnosis of choroidal metastasis should be considered. X-ray images may appear to be normal even in the presence of a large pulmonary lesion. Therefore, in cases where there may be a metastatic lesion, a CT scan is proposed as the optimal diagnostic imaging technique.
Highlights
The most common type of intraocular tumor in adults is the metastatic variety, with the choroid as the typical site of involvement [1,2,3]
The apparently normal chest X‐ray images that were obtained highlight a limitation of using X-ray, as a computed tomography (CT) scan subsequently detected the presence of a large primary lung lesion
Metastatic tumors are the most common type of intraocular malignancy, with the choroid being the typical site of involvement [1,2,3]
Summary
The most common type of intraocular tumor in adults is the metastatic variety, with the choroid as the typical site of involvement [1,2,3]. Examination of the posterior segment showed a choroidal lesion spanning ~8 mm and involving the superior half of the macula and the superior temporal quadrant of the right eye, with an overlying area of exudative retinal detachment (Fig. 1). A chest X‐ray showed increased air space shadowing in the left lower lobe, which was consistent with pneumonia; the right lung lobes were normal (Fig. 3). It was hypothesized, based on the clinical findings, that the patient was presenting with ocular tuberculosis or choroidal metastasis, a CT scan of the whole body was performed. The patient succumbed to the cancer within the following two weeks
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