Iris metastasis as the first sign of small-cell lung carcinoma with metastatic involvement of the mediastinum

We present the case of small-cell lung carcinoma metastatic to the iris, the course of the disease and management options. A 69-year-old female was diagnosed with a solid, amelanotic iris mass in her left eye. Differential diagnostics and ancillary tests subsequently led to the diagnosis of dissemin...

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Veröffentlicht in:Klinická onkologie 2009, Vol.22 (4), p.179-182
Hauptverfasser: Jurecka, T, Skorkovská, S, Coupková, H, Postránecká, V
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creator Jurecka, T
Skorkovská, S
Coupková, H
Postránecká, V
description We present the case of small-cell lung carcinoma metastatic to the iris, the course of the disease and management options. A 69-year-old female was diagnosed with a solid, amelanotic iris mass in her left eye. Differential diagnostics and ancillary tests subsequently led to the diagnosis of disseminated small-cell lung carcinoma. Systemic chemotherapy was indicated after fine needle biopsy verification of metastatic lung cancer. Iris metastasis responded well to the chemotherapy, its regression was observed and secondary open-angle glaucoma was controlled as well. Good visual functions were preserved during the treatment. Metastatic carcinoma of the iris may be the first sign of disseminated malignant disease. Small-cell lung carcinoma iris metastasis can be treated with chemotherapy. This treatment preserved visual functions, which enhanced the patient's quality of life.
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subjects Aged
Female
Humans
Iris Neoplasms - secondary
Lung Neoplasms - pathology
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - secondary
Small Cell Lung Carcinoma - diagnosis
Small Cell Lung Carcinoma - secondary
title Iris metastasis as the first sign of small-cell lung carcinoma with metastatic involvement of the mediastinum
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