|Year : 2023 | Volume
| Issue : 2 | Page : 622
Small-cell lung carcinoma diagnosis through an iris tumor
Ricardo Machado Soares, Joaquim Sequeira
Department of Ophthalmology, Centro Hospitalar de Vila Nova de Gaia e Espinho EPE, Vila Nova de Gaia, Portugal
|Date of Web Publication||28-Apr-2023|
Ricardo Machado Soares
Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia e Espinho, EPE, Rua Conceição Fernandes, S/N, 4434-502, Vila Nova de Gaia
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Machado Soares R, Sequeira J. Small-cell lung carcinoma diagnosis through an iris tumor. Indian J Ophthalmol Case Rep 2023;3:622
A 67-year-old man presented with complaints of foreign body sensation in the left eye. On examination, a vascularized tumor was seen emerging from the inferior iridocorneal angle with an inferior sentinel vessel [Figure 1]a. Ultrasound biomicroscopy indicated that the lesion originated from the iris and was restricted to the anterior chamber. Imaging revealed a mass in the right lung [[Figure 1]b-arrow] as well as multiple masses in the liver and brain [[Figure 1]c-arrows]. After the right lung biopsy, a stage IV small-cell lung carcinoma (with brain and liver metastasis) was established. Following five months of chemotherapy (with carboplatin and etoposide), the uveal tumor regressed, despite systemic disease progression [Figure 1]d.
|Figure 1: Multimodal descriptive imaging of the case; (a) left eye anterior segment photograph revealing a vascularized iris tumor; (b) computed tomography imaging showing a mass in the right inferior lobe (white arrow); (c) multiple brain lesions (white arrows) in gadolinium-enhanced T1-weighted magnetic resonance sequence; (d) left eye anterior segment photograph, five months after chemotherapy|
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