BILATERAL CHOROIDAL TUMORS CONSISTENT WITH METASTATIC MALIGNANT PARAGANGLIOMA

PURPOSE To report a patient with bilateral choroidal metastasis from a malignant paraganglioma. METHODS Clinicopathologic case report and literature review. RESULTS A 68-year-old woman presented with bilateral amelanotic focal choroidal lesions. A thorough systemic work-up for a primary cancer revealed a paraganglioma (extraadrenal pheochromocytoma) and a pheochromocytoma of the left adrenal gland. Fine-needle aspiration biopsy of the choroidal lesion was consistent with metastatic paraganglioma. CONCLUSION Metastatic paraganglioma, although rare, has the ability to metastasize to the choroid.