Choroidal metastasis from hepatocellular carcinoma, diagnosed by fine needle aspiration biopsy and treated by iodine-125 brachytherapy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Lalkrushna Malaviya & Carol L. Shields & Kiran Turaka & Hormoz Ehya & Jerry A. Shields
- چاپ و سال / کشور: 2011
Description
Purpose To report a rare case of choroidal metastasis from hepatocellular carcinoma. Methods A 63-year-old man with known hepatocellular carcinoma (HCC) and treated clavicular metastasis noted reduced visual acuity in the right eye. He was found to have an amelanotic choroidal tumor measuring 18×14×9.3 mm and with retinal detachment. Fine needle aspiration biopsy confirmed metastatic HCC. Results The choroidal metastasis was treated with 5 days of iodine-125 plaque brachytherapy (3500 cGy to apex). Tumor regression to 2.6 mm thickness with resolution of retinal detachment and preservation of visual acuity at 20/ 40 at the 4-month follow-up was documented. Conclusions HCC metastasis to the choroid can be treated with focal plaque brachytherapy, with preservation of vision and quality of life.
Graefes Arch Clin Exp Ophthalmol (2011) 249:1095–1098 DOI 10.1007/s00417-011-1626-8 Received: 11 October 2010 / Revised: 14 December 2010 / Accepted: 12 January 2011 / Published online: 9 February 2011
