Introduction: Metastatic colorectal cancer is highly fatal disease. While metastases are usually found in the thoracic cavity in colorectal cancer, the choroid has been shown to harbor metastases. The retrobuorbital pathway, although rarely, has also demonstrated colorectal metastases. Case report: A 54-year-old male with a one-year history of disseminated colon cancer presented with vision loss in his right eye in October 2013. A choroidal metastasis was found extending from the optic disc toward the fovea, Initial treatment consisted of systemic chemotherapy, supplemented by External Beam Radiation Therapy to the right eye one year after diagnosis. Thirteen months later, the left eye was found to have a choroidal tumor surrounding the disc. The cancer progressed through both local and systemic treatment. Discussion: While the disease progressed through multiple rounds of chemotherapy, external beam radiation therapy was shown to be effective in regressing the tumors. Managing refractory metastatic disease presents unique challenges in properly prioritizing therapeutic routes.
| Published in | International Journal of Ophthalmology & Visual Science (Volume 2, Issue 3) |
| DOI | 10.11648/j.ijovs.20170203.11 |
| Page(s) | 65-68 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Colorectal Cancer, Ocular Metastases, External Beam Radiation Therapy, Optic Disc Tumor
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APA Style
Caleb Roy Walker, David Alan Reichstein. (2017). Bilateral Metastases of Colorectal Cancer to the Choroid and Optic Disc. International Journal of Ophthalmology & Visual Science, 2(3), 65-68. https://doi.org/10.11648/j.ijovs.20170203.11
ACS Style
Caleb Roy Walker; David Alan Reichstein. Bilateral Metastases of Colorectal Cancer to the Choroid and Optic Disc. Int. J. Ophthalmol. Vis. Sci. 2017, 2(3), 65-68. doi: 10.11648/j.ijovs.20170203.11
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Download@article{10.11648/j.ijovs.20170203.11,
author = {Caleb Roy Walker and David Alan Reichstein},
title = {Bilateral Metastases of Colorectal Cancer to the Choroid and Optic Disc},
journal = {International Journal of Ophthalmology & Visual Science},
volume = {2},
number = {3},
pages = {65-68},
doi = {10.11648/j.ijovs.20170203.11},
url = {https://doi.org/10.11648/j.ijovs.20170203.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20170203.11},
abstract = {Introduction: Metastatic colorectal cancer is highly fatal disease. While metastases are usually found in the thoracic cavity in colorectal cancer, the choroid has been shown to harbor metastases. The retrobuorbital pathway, although rarely, has also demonstrated colorectal metastases. Case report: A 54-year-old male with a one-year history of disseminated colon cancer presented with vision loss in his right eye in October 2013. A choroidal metastasis was found extending from the optic disc toward the fovea, Initial treatment consisted of systemic chemotherapy, supplemented by External Beam Radiation Therapy to the right eye one year after diagnosis. Thirteen months later, the left eye was found to have a choroidal tumor surrounding the disc. The cancer progressed through both local and systemic treatment. Discussion: While the disease progressed through multiple rounds of chemotherapy, external beam radiation therapy was shown to be effective in regressing the tumors. Managing refractory metastatic disease presents unique challenges in properly prioritizing therapeutic routes.},
year = {2017}
}
TY - JOUR T1 - Bilateral Metastases of Colorectal Cancer to the Choroid and Optic Disc AU - Caleb Roy Walker AU - David Alan Reichstein Y1 - 2017/06/12 PY - 2017 N1 - https://doi.org/10.11648/j.ijovs.20170203.11 DO - 10.11648/j.ijovs.20170203.11 T2 - International Journal of Ophthalmology & Visual Science JF - International Journal of Ophthalmology & Visual Science JO - International Journal of Ophthalmology & Visual Science SP - 65 EP - 68 PB - Science Publishing Group SN - 2637-3858 UR - https://doi.org/10.11648/j.ijovs.20170203.11 AB - Introduction: Metastatic colorectal cancer is highly fatal disease. While metastases are usually found in the thoracic cavity in colorectal cancer, the choroid has been shown to harbor metastases. The retrobuorbital pathway, although rarely, has also demonstrated colorectal metastases. Case report: A 54-year-old male with a one-year history of disseminated colon cancer presented with vision loss in his right eye in October 2013. A choroidal metastasis was found extending from the optic disc toward the fovea, Initial treatment consisted of systemic chemotherapy, supplemented by External Beam Radiation Therapy to the right eye one year after diagnosis. Thirteen months later, the left eye was found to have a choroidal tumor surrounding the disc. The cancer progressed through both local and systemic treatment. Discussion: While the disease progressed through multiple rounds of chemotherapy, external beam radiation therapy was shown to be effective in regressing the tumors. Managing refractory metastatic disease presents unique challenges in properly prioritizing therapeutic routes. VL - 2 IS - 3 ER -
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