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Choroidal metastases 34 years after remission of breast cancer
Sandeep Randhawa1, Robert N Johnson
1*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and †West Coast Retina Medical Group, San Francisco, California.
Purpose:
To report a case of choroidal metastases from breast carcinoma occurring after a remission period of 34 years.
Methods:
Case report and literature review.
Results:
A 77-year-old woman who presented with blurry vision was found to have choroidal metastatic lesions in both her eyes. She had a remote history of breast cancer (status post mastectomy) 34 years ago. A metastatic workup was performed that revealed the presence of widespread metastatic lesions in the lungs, liver, and bones.
Conclusion:
Although the median time period for the detection of choroidal metastases is 3 years after the diagnosis of the primary malignancy, choroidal metastases can present till 34 years later as in our case (the longest time interval reported in the literature).
