Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report
Abstract Background A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. Case pres...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0795-1 |
| _version_ | 1818539755480023040 |
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| author | Tadanobu Yoshikawa Kimie Miyata Tokiko Nakai Chiho Ohbayashi Miki Kaneko Nahoko Ogata |
| author_facet | Tadanobu Yoshikawa Kimie Miyata Tokiko Nakai Chiho Ohbayashi Miki Kaneko Nahoko Ogata |
| author_sort | Tadanobu Yoshikawa |
| collection | DOAJ |
| description | Abstract Background A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. Case presentation A-74-year-old woman presented with visual disturbance and an increased intraocular pressure (IOP) in the right eye. She had no history of systemic cancer. She was initially diagnosed with acute iritis from diabetes mellitus and secondary glaucoma. She underwent trabeculectomy because of the uncontrolled IOP. After the IOP was controlled, she presented thick iris with corectopia, iris hemorrhage, and white, frog spawn-like mass resembling fibrin in the anterior chamber. An analysis of an iris biopsy suggested that the iris mass was an adenocarcinoma. Examination by esophagogastroduodenoscopy revealed advanced gastric signet ring cell adenocarcinoma as the primary source for the iris tumor. Conclusions We recommend that patients with acute iritis with atypical iris mass resembling fibrin and secondary glaucoma should be examined comprehensively for systemic tumors. |
| first_indexed | 2024-12-11T21:46:18Z |
| format | Article |
| id | doaj.art-9a791aecc0af49c1aba9fd044cbd7d1f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-11T21:46:18Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-9a791aecc0af49c1aba9fd044cbd7d1f2022-12-22T00:49:36ZengBMCBMC Ophthalmology1471-24152018-05-011811410.1186/s12886-018-0795-1Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case reportTadanobu Yoshikawa0Kimie Miyata1Tokiko Nakai2Chiho Ohbayashi3Miki Kaneko4Nahoko Ogata5Department of Ophthalmology, Nara Medical University School of MedicineDepartment of Ophthalmology, Nara Medical University School of MedicineDepartment of Diagnostic Pathology, Nara Medical University School of MedicineDepartment of Diagnostic Pathology, Nara Medical University School of MedicineDepartment of Internal Medicine, Kokuho Central HospitalDepartment of Ophthalmology, Nara Medical University School of MedicineAbstract Background A case of iris metastasis preceding the diagnosis of gastric signet ring cell adenocarcinoma is very rare. To report the findings in a patient who presented with an iris tumor that was later identified to have metastasized from a gastric signet ring cell adenocarcinoma. Case presentation A-74-year-old woman presented with visual disturbance and an increased intraocular pressure (IOP) in the right eye. She had no history of systemic cancer. She was initially diagnosed with acute iritis from diabetes mellitus and secondary glaucoma. She underwent trabeculectomy because of the uncontrolled IOP. After the IOP was controlled, she presented thick iris with corectopia, iris hemorrhage, and white, frog spawn-like mass resembling fibrin in the anterior chamber. An analysis of an iris biopsy suggested that the iris mass was an adenocarcinoma. Examination by esophagogastroduodenoscopy revealed advanced gastric signet ring cell adenocarcinoma as the primary source for the iris tumor. Conclusions We recommend that patients with acute iritis with atypical iris mass resembling fibrin and secondary glaucoma should be examined comprehensively for systemic tumors.http://link.springer.com/article/10.1186/s12886-018-0795-1IritisSignet ring cellGlaucomaIris metastasisChoroidal metastasis |
| spellingShingle | Tadanobu Yoshikawa Kimie Miyata Tokiko Nakai Chiho Ohbayashi Miki Kaneko Nahoko Ogata Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report BMC Ophthalmology Iritis Signet ring cell Glaucoma Iris metastasis Choroidal metastasis |
| title | Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report |
| title_full | Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report |
| title_fullStr | Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report |
| title_full_unstemmed | Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report |
| title_short | Iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma: a case report |
| title_sort | iris metastasis preceding diagnosis of gastric signet ring cell adenocarcinoma a case report |
| topic | Iritis Signet ring cell Glaucoma Iris metastasis Choroidal metastasis |
| url | http://link.springer.com/article/10.1186/s12886-018-0795-1 |
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