Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report

A patient initially diagnosed as having central serous chorioretinopathy (CSC) presented to a clinic with recurrence of pancreatic cancer manifesting as choroidal metastasis. He was initially diagnosed with CSC by a local ophthalmologist 8 weeks earlier and subsequently presented to our clinic for s...

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Main Authors: Ebony Smith, Tuan Tran
Format: Article
Language:English
Published: Karger Publishers 2021-10-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/519689
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author Ebony Smith
Tuan Tran
author_facet Ebony Smith
Tuan Tran
author_sort Ebony Smith
collection DOAJ
description A patient initially diagnosed as having central serous chorioretinopathy (CSC) presented to a clinic with recurrence of pancreatic cancer manifesting as choroidal metastasis. He was initially diagnosed with CSC by a local ophthalmologist 8 weeks earlier and subsequently presented to our clinic for second opinion after further loss of vision. His medical history was significant for locally advanced pancreatic cancer that was resected by pancreaticoduodenectomy and was treated with adjuvant Folfirinox chemotherapy that was completed 12 months earlier. On examination, there was a large serous retinal detachment overlying a large pale ill-defined elevated choroidal lesion. A diagnosis of choroidal metastasis from recurrence of his pancreatic cancer was made. The diagnosis of choroidal metastasis of his pancreatic cancer represented recurrence of his pancreatic cancer that is associated with high mortality. Early recognition by clinical assessment may allow timely management with chemotherapy and radiation, and potentially prolong survival.
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spelling doaj.art-3eee8c4a761f4b8d8dc0f304609ce2642022-12-21T23:14:18ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-10-0112385485810.1159/000519689519689Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case ReportEbony Smith0Tuan Tran1Sydney Eye Hospital, Sydney, NSW, AustraliaSydney Eye Hospital, Sydney, NSW, AustraliaA patient initially diagnosed as having central serous chorioretinopathy (CSC) presented to a clinic with recurrence of pancreatic cancer manifesting as choroidal metastasis. He was initially diagnosed with CSC by a local ophthalmologist 8 weeks earlier and subsequently presented to our clinic for second opinion after further loss of vision. His medical history was significant for locally advanced pancreatic cancer that was resected by pancreaticoduodenectomy and was treated with adjuvant Folfirinox chemotherapy that was completed 12 months earlier. On examination, there was a large serous retinal detachment overlying a large pale ill-defined elevated choroidal lesion. A diagnosis of choroidal metastasis from recurrence of his pancreatic cancer was made. The diagnosis of choroidal metastasis of his pancreatic cancer represented recurrence of his pancreatic cancer that is associated with high mortality. Early recognition by clinical assessment may allow timely management with chemotherapy and radiation, and potentially prolong survival.https://www.karger.com/Article/FullText/519689choroidal metastasisuveal metastasispancreatic cancer
spellingShingle Ebony Smith
Tuan Tran
Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
Case Reports in Ophthalmology
choroidal metastasis
uveal metastasis
pancreatic cancer
title Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
title_full Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
title_fullStr Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
title_full_unstemmed Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
title_short Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report
title_sort recurrence of pancreatic cancer presenting as choroidal metastasis a case report
topic choroidal metastasis
uveal metastasis
pancreatic cancer
url https://www.karger.com/Article/FullText/519689
work_keys_str_mv AT ebonysmith recurrenceofpancreaticcancerpresentingaschoroidalmetastasisacasereport
AT tuantran recurrenceofpancreaticcancerpresentingaschoroidalmetastasisacasereport