2020
DOI: 10.1177/0300060520959491
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Optic disc metastasis presenting as an initial sign of non-small-cell lung cancer: a case report

Abstract: Most intraocular metastases are detected in the choroid, iris, ciliary body, or retina. Conversely, tumors rarely metastasize to the optic disc, and they even less frequently present as the initial sign of cancer. In this study, we presented the case of a patient who first visited the ophthalmology department because of gradual visual impairment without any systemic symptoms, and she was ultimately diagnosed with non-small-cell lung cancer. This case report illustrated that visual impairment may be the first s… Show more

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Cited by 4 publications
(4 citation statements)
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“…Diagnosis of choroidal and/or optic disc metastasis is based on clinical history and fundus examination, though it has greatly benefited from the contribution and the development of modern multimodal imaging techniques. [5][6][7] CFP and IR showed in this case a large yellow subretinal mass located at the macula and extending beyond the temporal vascular arches and nasally to the optic disc. Uncommon papillary lesions were also noted, associated to optic disc edema probably secondary to the local compression of the tumor.…”
Section: Discussionmentioning
confidence: 56%
See 1 more Smart Citation
“…Diagnosis of choroidal and/or optic disc metastasis is based on clinical history and fundus examination, though it has greatly benefited from the contribution and the development of modern multimodal imaging techniques. [5][6][7] CFP and IR showed in this case a large yellow subretinal mass located at the macula and extending beyond the temporal vascular arches and nasally to the optic disc. Uncommon papillary lesions were also noted, associated to optic disc edema probably secondary to the local compression of the tumor.…”
Section: Discussionmentioning
confidence: 56%
“…Diagnosis of choroidal and/or optic disc metastasis is based on clinical history and fundus examination, though it has greatly benefited from the contribution and the development of modern multimodal imaging techniques. 57…”
Section: Discussionmentioning
confidence: 99%
“…Lung cancer generally causes hematogenous metastasis due to blood-brain barrier disruption [ 6 ]. Ocular metastasis occurs in the choroid (88%), iris (9%), ciliary body (2%), and retina (less than 1%) [ 8 ]. Optic nerve metastasis is not common, and it is usually an extension from the choroid, orbit, or central nervous system [ 9 ].…”
Section: Discussionmentioning
confidence: 99%
“…Our patient’s first manifestation was painless visual impairment prior to the diagnosis of an underlying malignancy, which may have been misdiagnosed as the patient also had stroke symptoms. Similarly, Lai et al reported a case of visual impairment as an initial presentation prior to the diagnosis of lung cancer in a patient [ 8 ]. Tamai et al also documented a similar case where the patient initially presented with visual impairment prior to the diagnosis of primary malignancy [ 13 ].…”
Section: Discussionmentioning
confidence: 99%