Eye Symptoms as First Sign for Systemic Metasteses after Operation of an Infiltratively Growing Gastro-intestinal Carcinoma
Petzold A., Wilhelm F., Werschnik C.
Martin-LutherUniversity, Halle-Wittenberg, Department of Ophthalmology, Halle/Saale
Purpose: Today choroidal metastases occur in up to 10 % of patients suffering from a malignant tumour, because of the improved therapy of the primary malignoma. The diagnosis of them leads sometimes to the primary tumour, or like in our case, it was the first sign of systemic metastases.
Method: We report on a 62-year old male patient who complained about decrease of vision of his left eye 3 years after gastrectomy, sleenectomy, cholecystectomy because of an infiltratively growing adenocarcinoma of the lower esophagus and the cardia. The fundus of the left eye showed juxtapapillar a yellowish prominent tumour with lepard-like structures on its surface, extension into the macula and retinal detachment. The following staging examination found a recurrence of the carcinoma of the lower esophagus and the cardia with cerebral, pericardial and liver metastases.
Results: After combination of radiation and chemotherapy the tumour prominence decreased and the visual acuity remarkably improved.
Conclusions: Ocular metastases are often treatable by radiation or chemotherapy, however the survival prognosis of the patients is depend on the possibilities of therapy of the primary tumour.
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