Eye Clinic AOU Ospedali Riuniti Ancona - Polytechnic University of Marche, Ancona, Italy.
Eur J Ophthalmol. 2022 Jul;32(4):NP67-NP70. doi: 10.1177/1120672121999629. Epub 2021 Mar 3.
Incidental finding of mass lesion in the choroid represents a very challenging situation for the ophthalmologist. We describe a case of an incidental, computed tomography (CT)-hyperintense, choroidal lesion in a patient with parotid malignancy and renal failure, and how multimodal imaging helped us reaching the correct diagnosis.
A 63-year-old man with parotid gland malignancy was brought to our attention because preoperative staging CT showed a hyperintense choroidal lesion of the right eye. Fundus examination showed a yellow elevated lesion near the superior temporal branch retinal artery. Enhanced depth imaging optical coherence tomography (EDI-OCT), A- and B-scan ultrasonography, and Indocyanine Green Angiography (ICGA) allowed us to exclude a malignant lesion and to diagnose a sclerochoroidal calcification.
Multimodal imaging can guide the clinician to choose the appropriate therapeutic approach even in case of uncommon conditions like sclerochoroidal calcification.
脉络膜偶然发现的肿块病变对眼科医生来说是一个极具挑战性的情况。我们描述了一例偶然发现的、计算机断层扫描（CT）-高信号的脉络膜病变患者，该患者患有腮腺恶性肿瘤和肾衰竭，以及多模态成像如何帮助我们做出正确的诊断。
一名 63 岁男性患有腮腺恶性肿瘤，因术前分期 CT 显示右眼脉络膜有一个高信号病变而引起我们的注意。眼底检查显示在上方颞支视网膜动脉附近有一个黄色隆起的病变。增强深度成像光学相干断层扫描（EDI-OCT）、A 型和 B 型超声以及吲哚菁绿血管造影（ICGA）使我们能够排除恶性病变，并诊断为脉络膜巩膜钙化。
即使在像脉络膜巩膜钙化这样罕见的情况下，多模态成像也可以指导临床医生选择适当的治疗方法。
