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Vol.51 No.2 contents | Japanese/English |
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- Case Report -
Factors Affecting Visual Outcome in Cases of Lung Cancer with Choroidal Metastasis Initially Presenting with Ocular Symptoms
Katsutoshi Ando1, Akina Komatsu1, Masanori Matsuda2, Norihiro Kaneko11Department of Pulmonology, 2Department of Oncology, Kameda Medical Center, Japan
Case. A 73-year-old man was referred to our hospital because of visual disturbance and retinal detachment. A physical examination showed small cell lung cancer with choroidal metastasis. Although we had scheduled chemotherapy, his ocular symptoms deteriorated, simultaneously with his performance status, and he died 1 month after his initial visit. Discussion. Although case reports of choroidal metastasis have been increasing recently, few reports of factors affecting visual prognosis are available. We identified 34 cases reported from 1988 to July 2010 in Japan with good or poor outcome, and analyzed their backgrounds and treatment. Patients with a good outcome were younger and had received more radiotherapy than those with a poor outcome. This analysis suggests that local management, including radiotherapy, can be effective in cases of choroidal metastasis.
key words: Lung cancer, Choroidal metastasis, Radiation therapy
Received: October 20, 2010
Accepted: January 24, 2011
JJLC 51 (2): 94-98, 2011
