Departament of Specialized Medicine, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Vision Unit Center, Hospital Universitário Cassiano Antonio de Moraes, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Arq Bras Oftalmol. 2023 May-Jun;86(3):277-280. doi: 10.5935/0004-2749.20230016.
Ocular metastases from systemic tumors are uncommon. The choroid is the most frequent target, with a preference for elderly individuals. Lung cancer is the predominant primary tumor that metastasizes to the eyes in males, although other ocular conditions such as uveitis and retinal lesions can mimic secondary tumor implants in ocular tissues. On fundoscopy, choroidal metastasis resembles other infectious processes, especially choroidal tuberculoma. Therefore, patients presenting with choroidal masses should undergo detailed clinical examinations, especially if the mass is the first manifestation of a systemic and severe disease. In this report, we describe a young man with a metastatic choroidal tumor secondary to papillary renal cell carcinoma mimicking a unilateral choroidal tuberculoma.
眼部转移瘤来自全身肿瘤者并不常见。脉络膜是最常见的转移部位，老年人多见。肺癌是最常见的原发性肿瘤，男性患者多转移至眼部，其他眼部疾病如葡萄膜炎和视网膜病变也可模拟眼内组织的继发性肿瘤种植。眼底检查时，脉络膜转移瘤类似于其他感染性疾病，特别是脉络膜结核瘤。因此，对于有脉络膜肿块的患者应进行详细的临床检查，特别是如果肿块是全身严重疾病的首发表现。在本报告中，我们描述了一位年轻男性，其因乳头状肾细胞癌引起的脉络膜转移瘤，表现为单侧脉络膜结核瘤。
