Pugnet G, Arista S, Martin-Blondel G, Roche H, Arlet-Suau E, Astudillo L
Service de médecine interne, centre hospitalier universitaire Purpan, 1, place du Docteur-Baylac, 31059 Toulouse cedex, France.
Rev Med Interne. 2007 Nov;28(11):790-2. doi: 10.1016/j.revmed.2007.05.016. Epub 2007 Jun 8.
Choroidal metastasis is a rare presenting feature of breast carcinoma. A 48-year-old woman presented with blurred vision of the right eye related to choroidal metastasis. Diagnostic work-up disclosed breast carcinoma with multiple metastases of the liver and lungs. Initial cerebral computed tomography scan was normal. During the follow-up, generalized seizure leaded to the diagnosis of multiple calcified cerebral metastasis. In 15 to 30 percent of cases, choroidal metastasis reveals a solid tumor, usually of the lung or the breast. Cerebral metastasis are common in breast cancer, but rarely calcified.