1. Adult wilms' tumor metastatic to the choroid of the eye
- Author
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Paul T. Finger, Steven A. McCormick, Yana P Gelman, and Floyd A. Warren
- Subjects
Adult ,Male ,Pathology ,medicine.medical_specialty ,Eye disease ,Wilms Tumor ,Metastasis ,Ophthalmoscopy ,Quadrant (abdomen) ,Fatal Outcome ,Medicine ,Humans ,Metamorphopsia ,Fluorescein Angiography ,Ultrasonography ,medicine.diagnostic_test ,business.industry ,Choroid Neoplasms ,Wilms' tumor ,Fluorescein angiography ,medicine.disease ,eye diseases ,Kidney Neoplasms ,Ophthalmology ,medicine.anatomical_structure ,sense organs ,Choroid ,medicine.symptom ,business - Abstract
Background Ocular manifestations of Wilms' tumor are rare, particularly in adults. We present the first reported case of a choroidal metastasis resulting from Wilms' tumor. Design Case report. Participant A 37-year-old white male with an adult-onset biopsy-proven Wilms' tumor with multiorgan metastatic disease. Results We report a unique case of uveal metastasis presumed from a Wilms' tumor. The patient's history included a primary Wilms' tumor with known disseminated metastasis, orbital pain, metamorphopsia, and decreased vision. Ophthalmoscopy revealed a unifocal choroidal tumor in the inferotemporal quadrant of the right eye. Ultrasonographic measurements of the tumor were 4.9 mm in apical height and 15 × 13 mm in basal diameter. Unusual ultrasound findings included echodense stromal opacities and retrobulbar edema. Fluorescein angiography revealed double circulation and late intratumoral fluorescence. Conclusions This is the first reported case of a choroidal metastasis by a Wilms' tumor.
- Published
- 2002