Ocular Metastasis Necessitating Enucleation of an Eyeball after Surgery for Primary Lung Cancer

• Published in: Nihon Kyōbu Shikkan Gakkai zasshi Vol. 34; no. 1; pp. 121 - 125
• Main Authors: Okusaki, Ken, Yamaoka, Naoki, Fujiwara, Yasuhiro, Yamakido, Michio, Egusa, Yoshihiro, Kishizuchi, Kentaro, Niitani, Kenji, Ohashi, Nobuyuki, Isobe, Takeshi
• Format: Journal Article
• Language: Japanese
• Published: Japan The Japanese Respiratory Society 1996; 社団法人 日本呼吸器学会
• Subjects: Adenocarcinoma - secondary; Adenocarcinoma - surgery; Aged; Carcinoma, Squamous Cell - secondary; Carcinoma, Squamous Cell - surgery; Choroid Neoplasms - secondary; Choroid Neoplasms - surgery; Enucleation of eyeball; Eye Enucleation; Humans; Lung Neoplasms - pathology; Lung Neoplasms - surgery; Male; Ocular metastasis; Pneumonectomy; Primary lung cancer; 原発性肺癌; 眼球摘出; 眼転移
• ISSN: 0301-1542; 1883-471X
• DOI: 10.11389/jjrs1963.34.121

A 68-year-old man was referred because of an abnormal shadow in the right upper lung field on a chest X-ray film. After the diagnosis of adenocarcinoma of the lung, left upper lobectomy was done. Histologically, adenocarcinoma with foci of squamous cell carcinoma was seen. About 11 months after that operation, he suddenly noticed a decrease in visual acuity on the left side. The fundus of the eye was tested and metastatic choroidal cancer was suspected. To prevent rupture, the eyeball was enucleated. The choroidal tumor appeared to have components of squamous cell carcinoma from primary lung cancer. About 7 months after enucleation of his eyeball, the patient was disease-free with no decrease in his quality of life. As a result of a recent increase in the incidence of lung cancer, it is important to pay attention to ophthalmological tests in patients with primary lung cancer.