Metastatic adenocarcinoma of the cervix presenting as a choroidal mass: A case report and review of literature of cervical metastases to the eye.
Loading...
Date
2015-08
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Cervical cancer is the most common cancer among females
in India. Cervical cancer usually spreads by local extension
and through the lymphatic drainage to the lymph nodes.
Hematogenous spread, the mechanism responsible for distant
metastases, is rarely seen in cervical malignancies. In this communication, we report a case of a 45-year-old woman
who presented with unilateral decrease in vision of 3 months
duration. She was found to have a serous retinal detachment with
underlying diffuse, subretinal yellowish-cream colored infiltrates
in the right eye, suspicious of choroidal metastases. Systemic
evaluation showed disseminated systemic metastases arising from
a primary adenocarcinoma of the cervix. In this communication,
we review all the documented cases of metastases to the eye
and adnexa arising from cervical cancer and their clinical
characteristics. Unilateral choroidal metastasis arising from an
adenocarcinoma of the cervix is extremely rare with only one
previous documented case. Although uncommon, choroidal
metastasis may be the presenting feature of primary cervical
malignancy. Furthermore, cervical malignancy must be ruled
out in women who present with orbital or choroidal metastases
arising from unknown primary.
Description
Keywords
Adenocarcinoma, cervix cancer, choroidal metastasis, granuloma, metastases, metastatic cervical cancer, orbital metastasis
Citation
Nair Akshay Gopinathan, Asnani Haresh T, Mehta Vinod C, Mehta Siddharth V, Pathak Rima S. Metastatic adenocarcinoma of the cervix presenting as a choroidal mass: A case report and review of literature of cervical metastases to the eye. Indian Journal of Ophthalmology. 2015 Aug; 63(8): 674-678.