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Choroidal metastasis of testicular choriocarcinoma: a case report and meta-analysis
Arnav Moudgil1, Gabriel Velez1, Prithvi Mruthyunjaya1,2,3
1Byers Eye Institute, Department of Ophthalmology, Stanford University, Palo Alto, CA, 94304, USA.
Purpose:
To report a case of testicular choriocarcinoma with choroidal metastasis in a patient who initially presented with visual symptoms that resulted in the diagnosis and treatment of his underlying malignancy and to summarize prior reports in the literature.
Observations:
Choroidal metastasis is a rare manifestation of choriocarcinoma and reported cases have been associated with substantial vision loss and poor survival. Choroidal metastases from testicular choriocarcinoma are often associated with significant intraocular hemorrhage and can mimic other choroidal lesions such as choroidal melanoma. Multimodal imaging can help differentiate between these lesions.
Conclusion And Importance:
In a patient who presents with a choroidal lesion and hemorrhage, metastatic testicular choriocarcinoma should be considered.
