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Multifocal Circumscribed Choroidal Hemangiomas Mimicking Metastases: A Diagnostic Challenge
Lucrezia Barbieri1, Chiara Preziosa, Giovanni Staurenghi
1Eye Clinic, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, University of Milan, Milan ( Italy ).
Purpose:
To investigate of two choroidal amelanotic lesions in left eye of a 55-year-old patient recently diagnosed with lung adenocarcinoma.
Methods:
On examination, best corrected visual acuity was 20/20. Ultrasonography revealed two acoustically solid choroidal tumors. Optical coherence tomography showed a smooth, dome-shaped, inner contour with adjacent subretinal fluid. Fluorescein angiography revealed a nonspecific progressive hyperfluorescence, whereas Indocyanine green angiography demonstrated rapid filling with late washout.
Results:
A diagnosis of multifocal circumscribed choroidal hemangiomas was made, and the patient was subsequently treated with photodynamic therapy. At the last visit, the tumors were stable in thickness and the subretinal fluid had regressed.
Conclusion:
Our case report confirms the importance of a multimodal imaging approach in documenting and managing new-onset lesions.
