A CASE of primary bronchogenic epidermoid carcinoma with metastasis to the choroid is reported because of unusual clinical and pathologic aspects. The patient, admitted primarily because of hemoptysis and the roentgenographic finding of a shadow in the right lung, was found to have an intraocular mass which had the appearance of a primary tumor of the choroid. The choroidal tumor increased rapidly in size and produced uncontrollable pain, necessitating enucleation. The histologic appearance of the choroidal tumor gave rise to a diversity of diagnoses. Only at necropsy were the primary site and histologic nature of the tumor established.
This case is of interest because of the rarity of metastatic carcinoma of the eye, its simulation of a primary tumor of the choroid, and the unusual histologic structure of the tumor in the choroid.
REPORT OF A CASE
F. A. R. (R 139889), a 53-year-old white man, was admitted on July
HAFT AS, WORKEN B. METASTATIC CARCINOMA OF THE CHOROID (BRONCHOGENIC) SIMULATING PRIMARY TUMOR OF THE EYE. AMA Arch Ophthalmol. 1954;51(4):445–450. doi:10.1001/archopht.1954.00920040455003
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