Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report
Abstract A 63‐year‐old Japanese man with amyopathic dermatomyositis treated with immunosuppressants became aware of distortion of his left visual field, and a metastatic choroidal tumor was suspected. His chest computed tomography (CT) showed a pulmonary nodule in the right upper lobe and mediastina...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-06-01
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| Series: | Thoracic Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1759-7714.14440 |
| _version_ | 1817978373396234240 |
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| author | Takako Kawaguchi Kei Yamasaki Tatsuya Shingu Taiki Manabe Satoko Koga Sho Naruse Moe Kidogawa Fuki Ujimiya Chinatsu Nishida Kazuhiro Yatera |
| author_facet | Takako Kawaguchi Kei Yamasaki Tatsuya Shingu Taiki Manabe Satoko Koga Sho Naruse Moe Kidogawa Fuki Ujimiya Chinatsu Nishida Kazuhiro Yatera |
| author_sort | Takako Kawaguchi |
| collection | DOAJ |
| description | Abstract A 63‐year‐old Japanese man with amyopathic dermatomyositis treated with immunosuppressants became aware of distortion of his left visual field, and a metastatic choroidal tumor was suspected. His chest computed tomography (CT) showed a pulmonary nodule in the right upper lobe and mediastinal lymphadenopathy, and he was diagnosed with advanced lung adenocarcinoma with choroidal metastasis. Malignancies associated with dermatomyositis (DM) are often rapidly progressive and, in choroidal metastasis associated with lung cancer, a choroidal lesion is often diagnosed prior to lung cancer; therefore, CT performed at the time of diagnosis of choroidal metastasis may show lung cancer lesions. When ocular symptoms are observed in DM patients, metastatic malignancies should be suspected, and systemic examinations, such as positron emission tomography (PET)‐CT, should also be performed. |
| first_indexed | 2024-04-13T22:29:15Z |
| format | Article |
| id | doaj.art-0323b37dbbaf43c99bd938bf4bf4cff4 |
| institution | Directory Open Access Journal |
| issn | 1759-7706 1759-7714 |
| language | English |
| last_indexed | 2024-04-13T22:29:15Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj.art-0323b37dbbaf43c99bd938bf4bf4cff42022-12-22T02:26:59ZengWileyThoracic Cancer1759-77061759-77142022-06-0113111739174310.1111/1759-7714.14440Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case reportTakako Kawaguchi0Kei Yamasaki1Tatsuya Shingu2Taiki Manabe3Satoko Koga4Sho Naruse5Moe Kidogawa6Fuki Ujimiya7Chinatsu Nishida8Kazuhiro Yatera9Department of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Ophthalmology University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Ophthalmology University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanDepartment of Respiratory Medicine University of Occupational and Environmental Health, Japan Kitakyushu JapanAbstract A 63‐year‐old Japanese man with amyopathic dermatomyositis treated with immunosuppressants became aware of distortion of his left visual field, and a metastatic choroidal tumor was suspected. His chest computed tomography (CT) showed a pulmonary nodule in the right upper lobe and mediastinal lymphadenopathy, and he was diagnosed with advanced lung adenocarcinoma with choroidal metastasis. Malignancies associated with dermatomyositis (DM) are often rapidly progressive and, in choroidal metastasis associated with lung cancer, a choroidal lesion is often diagnosed prior to lung cancer; therefore, CT performed at the time of diagnosis of choroidal metastasis may show lung cancer lesions. When ocular symptoms are observed in DM patients, metastatic malignancies should be suspected, and systemic examinations, such as positron emission tomography (PET)‐CT, should also be performed.https://doi.org/10.1111/1759-7714.14440adenocarcinomachoroidal metastasisdermatomyositis |
| spellingShingle | Takako Kawaguchi Kei Yamasaki Tatsuya Shingu Taiki Manabe Satoko Koga Sho Naruse Moe Kidogawa Fuki Ujimiya Chinatsu Nishida Kazuhiro Yatera Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report Thoracic Cancer adenocarcinoma choroidal metastasis dermatomyositis |
| title | Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report |
| title_full | Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report |
| title_fullStr | Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report |
| title_full_unstemmed | Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report |
| title_short | Advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis: A case report |
| title_sort | advanced lung adenocarcinoma detected by choroidal metastasis in a patient with amyopathic dermatomyositis a case report |
| topic | adenocarcinoma choroidal metastasis dermatomyositis |
| url | https://doi.org/10.1111/1759-7714.14440 |
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