Choroidal metastasis is the most common intraocular malignancy followed by ocular melanoma. This presentation is reported commonly in breast and lung malignancies with multifocal involvement of one eye, or involvement of both eyes. In lung cancer, it is seen in 50-60 year old males with histopathological diagnosis of adenocarcinoma. Here we report the rare occurrence of squamous cell carcinoma lung in 35 year-old female with choroidal metastasis as initial presentation in a patient who had undergone treatment for carcinoma hypopharynx as metachronous second primary. Key word: Secondary choroidal neoplasm, Squamous cell carcinoma, Lung, Ophthalmoscopy

A 24-year-old-lady presented with yellowish discolouration of urine, itching and palpable lump in the upper abdomen of three months duration. Evaluation revealed icterus and a non-tender epigastric mass. Investigations revealed anaemia (haemoglobin 10.5 g/dL) leukocytosis (total leukocyte count 17,300/mm 3 ), elevat ed erythrocyte sedimentation rate (ESR) (48 mm at the end of 1 st hour). Liver function tests were suggestive of hyper -bilirubinaemia (serum total bilirubin 4.9 mg/dL, conjugated bilirubin 2.6 mg/ dL), elevat ed liver enzymes (aspart ate aminotransferase 93 IU/L, alanine aminotransferase 57 IU/L), normal total serum proteins (6.6 g/dL) with low serum albumin (3.1 g/dL). Coagulation profile was normal. Serological testing for hepatitis B surface antigen and anti- ABSTRACTBiliary cystadenomas are rare, potentially malignant neoplasms of biliary origin occurring predominantly in middle aged women. Here we report a case of biliary cystadenoma in a young female who presented with an epigastric mass and features of obstructive jaundice. Imaging studies showed a mass in the left lobe of liver with dilated intra hepatic biliary ducts, right hepatic duct and common bile duct. Patient was subjected to left hepatectomy and hepatico-jejunostomy. Histopathology confirmed the lesion as biliary cystadenoma with choledochal polyp. Key Words: Biliary cystadenoma, Choledochal polypLakshmi AY, Vijayalakshmi Devi B, Sriram P, Kumaraswamy Reddy M. Biliary cystadenoma and choledochal polyp: a rare association. J Clin Sci Res 2012;2:37-8.

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