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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 622 |
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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 |
Correspondence Address:
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
Portugal
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1900_22
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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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
[Figure 1]
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