Abstract
Metastasis refers to the spread of malignant cells to a site or sites distant from a primary cancer’s location. In the setting of uveitis, metastatic lesions may produce a true uveitis that is an inflammatory response to malignancy within the eye. Metastatic disease may also result in an appearance mimicking a uveitis, wherein the cellular reaction is composed of malignant rather than inflammatory cells. Lung and breast cancer are by far the most common, respectively representing 37 and 23 % of all cases, but numerous other primary sources of malignancy have also been reported, including esophageal, pancreatic, germ cell, ovarian, Ewing’s sarcoma, and melanoma. Finally, treatments for metastatic disease may produce a drug-induced uveitis.
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References
Michelson JB, Grossman KR, Lozier JR, Farber M, Augsburger JJ, Crawford JB (1986) Iridocyclitis masquerade syndrome. Surv Ophthalmol 31:125–130
Walker C (1974) Bilateral choroidal metastases from “adenoma” of the bronchus. Br J Ophthalmol 58:625–629
Talegaonkar SK (1969) Anterior uveal tract metastasis as the presenting feature of bronchial carcinoma. Br J Ophthalmol 53:123–126
Woog JJ, Chess J, Albert DM, Dueker DK, Berson FG, Craft J (1984) Metastatic carcinoma of the iris simulating iridocyclitis. Br J Ophthalmol 68:167–173
Kiuchi K, Kimoto T, Takahashi K, Shima C, Nishimura T, Matsumura M (2007) Case with metastasis of a squamous esophageal cancer of the iris with resemblance to hypopyon. Nippon Ganka Gakkai Zasshi 111:735–740
Segal A, Ducasse A, Mathot E, Jouhaud F (1987) Iris metastasis from cancer of the esophagus. Bull Soc Ophtalmol Fr 87:137–139
Kaushik S, Gupta V, Singh R, Vasishta RK, Rajwanshi A, Gupta A (2005) Disseminated metastasis following periampullary cancer resection masquerading as uveitis. Indian J Ophthalmol 53:57–59
Rotkis WM, Kulander BG, Chandler JW, Kaiser FS (1986) Diagnosis of anterior chamber metastasis by serologic marker found during anterior chamber paracentesis. Am J Ophthalmol 102:179–181
Frank KW, Sugar HS, Sherman AI, Beckman H, Thoms S (1979) Anterior segment metastases from an ovarian choriocarcinoma. Am J Ophthalmol 87:778–782
Jampol LM, Cottle E, Fischer DS, Albert DM (1973) Metastasis of Ewing’s sarcoma to the choroid. Arch Ophthalmol 89:207–209
Kirsch O, Lautier-Frau M, Labetoulle M, Offret H, Frau E (2003) Characteristics of uveitis presenting de novo in the elderly. J Fr Ophtalmol 26:720–724
Soheilian M, Mirbabai F, Shahsavari M, Parvin M, Manieei F (2002) Metastatic cutaneous melanoma to the vitreous cavity masquerading as intermediate uveitis. Eur J Ophthalmol 12:324–327
Vemurafenib. Value unclear in metastatic melanoma (2012) Prescrire Int 21:288–290
Yeh S, Karne NK, Kerkar SP, Heller CK, Palmer DC, Johnson LA, Li Z, Bishop RJ, Wong WT, Sherry RM, Yang JC, Dudley ME, Restifo NP, Rosenberg SA, Nussenblatt RB (2009) Ocular and systemic autoimmunity after successful tumor-infiltrating lymphocyte immunotherapy for recurrent, metastatic melanoma. Ophthalmology 116:981–989 e981. doi:10.1016/j.ophtha.2008.12.004
Kesen MR, Edward DP, Ulanski LJ, Tessler HH, Goldstein DA (2008) Pulmonary metastasis masquerading as anterior uveitis. Arch Ophthalmol 126:572–574. doi:10.1001/archopht.126.4.572
Denslow GT, Kielar RA (1978) Metastatic adenocarcinoma to the anterior uvea and elevated CEA levels. Cancer 42:1504–1506
Freeman TR, Friedman AH (1975) Metastatic carcinoma of the iris. Am J Ophthalmol 80:947–952
Ferry AP, Font RL (1975) Carcinoma metastatic to the eye and orbit II. A clinicopathological study of 26 patients with carcinoma metastatic to the anterior segment of the eye. Arch Ophthalmol 93:472–482
Morgan WE 3rd, Malmgren RA, Albert DM (1970) Metastatic carcinoma of the ciliary body simulating uveitis. Diagnosis by cytologic examination of aqueous humor. Arch Ophthalmol 83:54–58
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Case Report 97
Choroidal metastasis masquerading as uveitis (PPTX 10905 kb)
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Read, R.W. (2016). Metastasis. In: Zierhut, M., Pavesio, C., Ohno, S., Orefice, F., Rao, N. (eds) Intraocular Inflammation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75387-2_150
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DOI: https://doi.org/10.1007/978-3-540-75387-2_150
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