International Journal of Ophthalmology (Aug 2024)

Rapid progress of an iris metastasis from esophageal cancer: a case report and review of literature

  • Meng Xie,
  • Xing-Hua Wang,
  • Jun-Jie Yang,
  • Zi-Xuan Su,
  • Jia-Hui Huang,
  • Peng-Cheng Li,
  • Fa-Gang Jiang

DOI
https://doi.org/10.18240/ijo.2024.08.22
Journal volume & issue
Vol. 17, no. 8
pp. 1557 – 1567

Abstract

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This case report details a rare instance of rapid iris metastasis from esophageal cancer in a 59-year-old man. A literature review was conducted to explore recent advances in detecting, diagnosing, and treating intraocular metastatic malignancies. Positron emission tomography-computed tomography played a crucial role in identifying primary sites and systemic metastases. Local treatment combined with systemic therapy effectively reduced tumor size, preserved useful vision, and improved the patient's survival rate. A comparison was made of the characteristics of iris metastases from esophageal cancer and lung cancer, including age, gender, tumor characteristics, and treatment. The challenges associated with diagnosis and treatment are discussed, highlighting the implications for clinical practice.

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