From the Department of Nuclear Medicine, Pingjin Hospital, Logistics University of Chinese People's Armed Police Force, Tianjin, People's Republic of China.
Clin Nucl Med. 2017 Sep;42(9):714-716. doi: 10.1097/RLU.0000000000001738.
Solitary choroidal metastasis as an initial presentation of lung cancer is rare. A 67-year-old woman who initially presented with a 3-month history of blurred vision in the right eye was suggestive of choroidal melanoma on MRI. Preoperatively, a pulmonary mass was found on x-ray. She was referred for an FDG PET/CT imaging, which revealed a choroidal lesion with minimal FDG uptake in right eye and increased FDG activity in the known lung mass. A pathological diagnosis of metastatic lung adenocarcinoma was made after enucleation of the right eyeball.
孤立性脉络膜转移作为肺癌的初始表现较为罕见。一位 67 岁女性最初表现为右眼视力模糊 3 个月，MRI 提示脉络膜黑色素瘤。术前 X 线检查发现肺部肿块。她被转介进行 FDG PET/CT 成像，结果显示右眼脉络膜病变摄取 FDG 较少，已知肺部肿块摄取 FDG 增加。右眼眼球摘除后病理诊断为转移性肺腺癌。
