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Choroidal metastasis of a gingival squamous cell carcinoma
Jyotirmay Biswas1, Subramanian Krishnakumar, Kaushal Bhavsar
1Medical & Vision Research Foundations, Sankara Nethralaya, Chennai, India. mrf@sankaranethralaya.org
Purpose:
To report a case of choroidal metastasis of a gingival squamous cell carcinoma.
Design:
Interventional case report.
Methods:
Review of the clinical history and pathologic findings.
Results:
A 59-year-old woman with a history of right gingival squamous cell carcinoma presented with sudden dimness of vision in the left eye of 4 weeks duration. Fundus examination of the left eye revealed a yellowish elevated subretinal lesion involving the optic disk and macula. Fine-needle aspiration biopsy of the choroidal lesion, left eye, revealed metastatic squamous carcinoma cells. The patient was referred to a radiation oncologist for further management.
Conclusion:
Choroidal metastasis from gingival squamous cell carcinoma is rare, and it may develop from hematogeneous spread.