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July 1987

Intraocular Metastasis of Alveolar Soft-Part Sarcoma

Author Affiliations

Los Angeles

Arch Ophthalmol. 1987;105(7):894-895. doi:10.1001/archopht.1987.01060070030012

To the Editor.  —Alveolar soft-part sarcoma is an uncommon neoplasm with a marked propensity for local recurrence and metastases. Primary sites include the extremities, trunk, retroperitoneum, orbit, and tongue.1 In addition, one case of primary choroidal alveolar soft-part sarcoma has been reported.2 Metastases have been documented in the lungs, brain, skeleton, and lymph nodes but have not been reported in the eye.1 We report a case of choroidal metastases of alveolar soft-part sarcoma.

Report of a Case.  —In September 1980, a 23-year-old man presented with a 2-cm mass in the right anterior thigh. Angiography disclosed a highly vascular mass, and a diagnosis of arteriovenous malformation was made. Fifteen months later, a chest roentgenogram showed multiple pulmonary nodules. Fine-needle aspiration of the lung disclosed large pleomorphic cells with abundant cytoplasm. The thigh mass, at that time measuring 8.9 × 6.8 × 4.1 cm, was locally excised. Alveolar soft-part

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