Open AccessChoroidal metastasis from esophageal squamous cell carcinoma
Author(s) -
Shin-Yu Chang,
ShihWei Tsai,
Lee-Jen Chen,
WeiChun Chan,
YeouPing Tsao
Publication year - 2018
Publication title -
taiwan journal of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.4103/tjo.tjo_80_17
Subject(s) - medicine , choroid , metastasis , basal cell , positron emission tomography , radiology , radiation therapy , esophageal squamous cell carcinoma , carcinoma , cancer , pathology , retina , physics , optics
We presented a rare case of a sole choroidal metastatic tumor from esophageal squamous cell carcinoma (ESCC) without other organ metastasis in Taiwan. A 43-year-old male with ESCC was referred for a 1-month history of decreased vision in his left eye. A 5.7 mm thick, yellow choroidal tumor occupied posterior pole, featured with pinpoint hyperfluorescence on angiography and subretinal fluid on optical coherence tomography. Positron emission tomography showed a singular hypermetabolic focus in the left eye. The tumor regressed with complete response and the vision preserved after radiation with total 57.60 gray applied by tomotherapy. The gastrointestinal system is the third most common metastatic origin in Taiwan while esophageal cancer metastasizing to choroid is rare. The discrepancy between the high prevalence of primary ESCC and the rareness of choroidal metastasis from ESCC is undetermined.