Sarcomas, ARCOMAS, tumors of mesenchymal origin, do produce ocular metastases. Those composed of hematopoietic and lymphoid cells, the granulocytic and lymphocytic leukemias, seem to be the most common. Those composed of connective tissue cells or derivatives, however, are rarely metastatic to the eye. The finding of a metastatic osteogenic sarcoma to the choroid prompted this report.
A 29-year-old white man was admitted for the third time to the Cincinnati Veterans Administration Hospital (CVAH) on Aug 18, 1966, because of increasing coughing spells and shortness of breath. The chest x-ray film showed a spontaneous left pneumothorax. An eye consultant noted an elevated mass in the fundus of the right eye. The patient's condition continued to deteriorate, and he died on Aug 30, 1966. Both eyes were obtained shortly after death.The past history revealed that the patient underwent an above-the-knee amputation for a tumor of the left fibula at Walter
Spaulding AG, Woodfin MC. Osteogenic Sarcoma Metastatic to the Choroid. Arch Ophthalmol. 1968;80(1):84-86. doi:10.1001/archopht.1968.00980050086013