Multifocal Choroidal Metastases from Thyroid Carcinoma: A Case Report

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Multifocal Choroidal Metastases from Thyroid Carcinoma: A Case Report

M. Munteanu, S. Giuri, C. Roșca, O. Boruga, O. Cretu
Clinical case, no. 2, 2013
We present the case of a 62-year-old female patient, with follicular variant of papillary thyroid carcinoma, which presented to our department for a severe decrease in vision at right eye level. Despite a complex therapy, that included a near-total thyroidectomy, thyroid I-131 ablation, suppressive therapy with LT4, and external beam radiotherapy with cobalt- 60, the patient developed multiple lung, mediastinal, liver, and bone metastases, followed after 1 year, by multifocal choroidal metastases. The complex ocular investigations performed for the diagnosis and follow-up of the choroidal metastases are presented. A review of the literature was also performed. The rarity of choroidal metastases in patients with thyroid carcinoma imposes, for their detection, periodic ocular examinations.