Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 3694       

   Table of Contents      
CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 172

Choroidal metastases as presenting manifestation of lung squamous cell carcinoma


Advanced Eye Centre, Postgraduate Institute of Medical Education & Research, Chandigarh 160 012, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Reema Bansal
Advanced Eye Centre, Postgraduate Institute of Medical Education & Research, Chandigarh 160 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2268_19

Rights and Permissions

How to cite this article:
Bansal R, Menia NK. Choroidal metastases as presenting manifestation of lung squamous cell carcinoma. Indian J Med Res 2020;152, Suppl S1:172

How to cite this URL:
Bansal R, Menia NK. Choroidal metastases as presenting manifestation of lung squamous cell carcinoma. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:172. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/172/316804

Patient's consent obtained to publish clinical information and images.


A 61 yr old male (chronic smoker) presented at the Advanced Eye Centre, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India in June 2019, with visual loss in the right eye with a large choroidal mass, obscuring optic disc [Figure 1]A. Contrast-enhanced computed tomography (chest and abdomen) [Figure 1]B showed nodular pleural thickening, pleural fluid suggestive of lung carcinoma, with non-enhancing lesions in the liver, suggestive of metastasis. Fine needle aspiration cytology (ultrasound-guided) from the liver [Figure 1]C showed squamous cell clusters, pleomorphic nuclei, coarse chromatin, inconspicuous nucleoli and moderate-to-abundant cytoplasm, confirming metastatic squamous cell carcinoma. The patient was advised therapy but did not follow up. Visual loss as the primary symptom of lung cancer is rare, and ocular metastasis from lung carcinoma occurs in 2-7 per cent patients. This case highlights the significance of systemic evaluation and imaging in a patient with visual loss and choroidal involvement with no obvious systemic complaints.
Figure 1: (A) Right eye fundus photograph showing a large choroidal mass. (B) Contrast-enhanced computed tomography (chest and abdomen) showing nodular pleural thickening (yellow arrow), pleural fluid (red arrow) suggestive of lung carcinoma and non-enhancing lesions in the liver (black arrow) suggestive of metastasis. (C) Ultrasound-guided fine needle aspiration cytology (liver) (H and E, ×20) showing squamous cell clusters (arrow), pleomorphic nuclei, coarse chromatin, inconspicuous nucleoli and moderate-to-abundant cytoplasm, confirming metastatic squamous cell carcinoma.

Click here to view


Conflicts of Interest: None.


    Figures

  [Figure 1]



 

Top
 
 
  Search
 
    Similar in PUBMED
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    Article Figures

 Article Access Statistics
    Viewed124    
    Printed0    
    Emailed0    
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal