Asunto(s)
Antineoplásicos Alquilantes/efectos adversos , Retina/efectos de los fármacos , Enfermedades de la Retina/inducido químicamente , Sesquiterpenos/efectos adversos , Anciano , Neoplasias de la Mama/tratamiento farmacológico , Electrorretinografía , Potenciales Evocados Visuales , Femenino , Humanos , Persona de Mediana Edad , Retina/fisiopatología , Enfermedades de la Retina/fisiopatología , Campos Visuales/efectos de los fármacosRESUMEN
PURPOSE: To describe a patient with choroidal metastasis from renal cell carcinoma that spontaneously regressed after nephrectomy. DESIGN: Interventional case report. METHOD: A 48-year-old Hispanic woman presented with reduced vision in the left eye attributable to an elevated choroidal lesion and associated exudative retinal detachment. Oncology workup revealed a left kidney renal cell carcinoma with pulmonary metastases. The patient underwent primary nephrectomy, without specific treatment of choroidal or pulmonary metastases. RESULTS: The metastatic choroidal lesion regressed and the retinal detachment completely resolved, as evidenced by fundus photographs and ultrasonography. CONCLUSIONS: Choroidal metastasis from renal cell carcinoma may spontaneously regress after removal of the primary tumor.