PURPOSE: To report a rare case of choroidal metastasis from hepatocellular carcinoma. METHODS: A 63-year-old man with known hepatocellular carcinoma (HCC) and treated clavicular metastasis noted reduced visual acuity in the right eye. He was found to have an amelanotic choroidal tumor measuring 18 × 14 × 9.3 mm and with retinal detachment. Fine needle aspiration biopsy confirmed metastatic HCC. RESULTS: The choroidal metastasis was treated with 5 days of iodine-125 plaque brachytherapy (3500 cGy to apex). Tumor regression to 2.6 mm thickness with resolution of retinal detachment and preservation of visual acuity at 20/40 at the 4-month follow-up was documented. CONCLUSIONS: HCC metastasis to the choroid can be treated with focal plaque brachytherapy, with preservation of vision and quality of life.
PURPOSE: To report a rare case of choroidal metastasis from hepatocellular carcinoma. METHODS: A 63-year-old man with known hepatocellular carcinoma (HCC) and treated clavicular metastasis noted reduced visual acuity in the right eye. He was found to have an amelanotic choroidal tumor measuring 18 × 14 × 9.3 mm and with retinal detachment. Fine needle aspiration biopsy confirmed metastatic HCC. RESULTS: The choroidal metastasis was treated with 5 days of iodine-125 plaque brachytherapy (3500 cGy to apex). Tumor regression to 2.6 mm thickness with resolution of retinal detachment and preservation of visual acuity at 20/40 at the 4-month follow-up was documented. CONCLUSIONS: HCC metastasis to the choroid can be treated with focal plaque brachytherapy, with preservation of vision and quality of life.
Authors: Efthymia K Tsina; Anne Marie Lane; David N Zacks; John E Munzenrider; J Michael Collier; Evangelos S Gragoudas Journal: Ophthalmology Date: 2005-02 Impact factor: 12.079
Authors: Carol L Shields; Maria E Manquez; Hormoz Ehya; Arman Mashayekhi; Carl J Danzig; Jerry A Shields Journal: Ophthalmology Date: 2006-11 Impact factor: 12.079