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Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 104-107

Choroidal metastasis from esophageal squamous cell carcinoma

1 Department of Ophthalmology, Mackay Memorial Hospital, Taipei, Taiwan
2 Department of Ophthalmology, Mackay Memorial Hospital; Department of Optometry, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan
3 Department of Ophthalmology; Department of Medical Research, Ophthalmology, Mackay Memorial Hospital, Taipei, Taiwan

Correspondence Address:
Dr. Shawn H Tsai
8F-3, No. 13, Lane 10, Shuangcheng Street, Zhongshan District, Taipei City 10453
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_80_17

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We presented a rare case of a sole choroidal metastatic tumor from esophageal squamous cell carcinoma (ESCC) without other organ metastasis in Taiwan. A 43-year-old male with ESCC was referred for a 1-month history of decreased vision in his left eye. A 5.7 mm thick, yellow choroidal tumor occupied posterior pole, featured with pinpoint hyperfluorescence on angiography and subretinal fluid on optical coherence tomography. Positron emission tomography showed a singular hypermetabolic focus in the left eye. The tumor regressed with complete response and the vision preserved after radiation with total 57.60 gray applied by tomotherapy. The gastrointestinal system is the third most common metastatic origin in Taiwan while esophageal cancer metastasizing to choroid is rare. The discrepancy between the high prevalence of primary ESCC and the rareness of choroidal metastasis from ESCC is undetermined.

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