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KMID : 0360220150560091464
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Journal of the Korean Ophthalmological Society
2015 Volume.56 No. 9 p.1464 ~ p.1466
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Pigmented Choroidal Metastases Masquerading as Choroidal Melanoma
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신우범:Shin Woo-Beom
김민교:Kim Min-Kyo/김지예:Kim Ji-Ye/이성철:Lee Sung-Chul/김혜선:Kim Hye-Sun
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Abstract
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Purpose: To report the first case of pigmented choroidal metastases without enucleation diagnosed with fine-needle aspiration biopsy.
Case summary: A 47-year-old male was referred to our clinic with a suspected diagnosis of choroidal melanoma in his left eye. Positron emission tomography?computer tomography used to evaluate systemic metastases revealed lung cancer. Pathology of the detected lung mass was primary lung neuroendocrine tumor. To differentiate choroidal metastasis and primary choroidal melanoma, we performed a fine-needle aspiration biopsy for choroidal tumors. The cytology showed results favoring metastatic atypical carcinoid and the patient was started on systemic chemotherapy.
Conclusions: All pigmented choroidal tumors are not choroidal melanomas and choroidal metastases may be pigmented. The present case suggests that proper systemic evaluation and biopsy for suspected choroidal tumor could be helpful in diagnosis.
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KEYWORD
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Carcinoid tumors, Choroidal melanoma, Choroidal metastases, Lung neuroendocrine tumor
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