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10.1159/000448720

http://scihub22266oqcxt.onion/10.1159/000448720
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C5318930!5318930!28275605
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suck abstract from ncbi


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pmid28275605      Ocul+Oncol+Pathol 2017 ; 3 (1): 56-9
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  • Unrelenting Ocular Pain as a Masquerading Symptom of Occult Choroidal Metastasis #MMPMID28275605
  • Deaner JD; Pointdujour-Lim R; Say EAT; Shields CL
  • Ocul Oncol Pathol 2017[Jan]; 3 (1): 56-9 PMID28275605show ga
  • Purpose: To report a case of chronic eye pain as a presenting feature of choroidal metastasis from lung cancer. Methods: We report the case of a 58-year-old Caucasian woman with stage IV lung adenocarcinoma presenting with an 8-month history of left eye pain and blurred vision. Results: The patient had previously consulted 14 ophthalmologists with varying diagnoses including posterior scleritis and trigeminal neuralgia. Visual acuity at presentation was 20/20 in the right eye and 20/80 in the left eye. Examination of the right eye was normal, while the left eye showed ill-defined flat yellow discoloration of the choroid with overlying shifting subretinal fluid. Ultrasonography demonstrated a dense choroidal thickening measuring 2.6 mm in size and showing subretinal fluid. Enhanced depth imaging optical coherence tomography revealed choroidal thickening with a ?lumpy bumpy? surface topography consistent with a metastatic choroidal tumor presumably from the patient's lung adenocarcinoma. Fine needle aspiration biopsy followed by treatment was recommended, but the patient declined and later succumbed to metastatic disease. Conclusion: We present a case of chronic eye pain associated with diffuse choroidal thickening from metastatic lung adenocarcinoma that was previously unrecognized and misdiagnosed. This case emphasizes the importance of recognizing pain as a presenting symptom of choroidal metastasis.
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