Adult Wilms' tumor metastatic to the choroid of the eye

Paul T. Finger, Floyd A. Warren, Yana P. Gelman, Steven A. McCormick

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Background: Ocular manifestations of Wilms' tumor are rare, particularly in adults. We present the first reported case of a choroidal metastasis resulting from Wilms' tumor. Design: Case report. Participant: A 37-year-old white male with an adult-onset biopsy-proven Wilms' tumor with multiorgan metastatic disease. Results: We report a unique case of uveal metastasis presumed from a Wilms' tumor. The patient's history included a primary Wilms' tumor with known disseminated metastasis, orbital pain, metamorphopsia, and decreased vision. Ophthalmoscopy revealed a unifocal choroidal tumor in the inferotemporal quadrant of the right eye. Ultrasonographic measurements of the tumor were 4.9 mm in apical height and 15 × 13 mm in basal diameter. Unusual ultrasound findings included echodense stromal opacities and retrobulbar edema. Fluorescein angiography revealed double circulation and late intratumoral fluorescence. Conclusions: This is the first reported case of a choroidal metastasis by a Wilms' tumor.

Original languageEnglish
Pages (from-to)2134-2136
Number of pages3
JournalOphthalmology
Volume109
Issue number11
DOIs
StatePublished - 1 Nov 2002
Externally publishedYes

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