Document Type
Article
Publication Date
6-1-2016
Abstract
BACKGROUND: Description of three cases of metastatic esophageal carcinoma to the iris and focus on management strategies.
METHODS: A 48-year-old man (Case 1) with previously treated stage IV esophageal carcinoma presented with blurred vision in the left eye (OS) for 3 weeks. Initial fine needle aspiration biopsy (FNAB) was negative for malignant cells, so incisional biopsy was performed and confirmed metastatic carcinoma. A 53-year-old man (Case 2) with previously treated stage III esophageal cancer experienced 2 months of pain and 1 month of blurred vision OS. Documented tumor growth suggested esophageal carcinoma metastasis. A 65-year-old man (Case 3) with previously treated stage IV esophageal carcinoma developed hyphema in the right eye (OD), and FNAB confirmed metastatic carcinoma.
RESULTS: Case 1 was treated with external beam radiotherapy (EBRT), delivered over 16 days which resulted in complete tumor regression. Case 2 received stereotactic body radiotherapy (SBRT) over 21 days leading to complete tumor regression. Case 3 was treated with plaque radiotherapy over 4 days, resulting in complete tumor regression.
CONCLUSIONS: In all three cases, radiotherapy was employed, and enucleation was avoided. Plaque radiotherapy achieved tumor control in a shorter period of time (4 days) compared to EBRT (16 days) or SBRT (21 days). Knowing the short life expectancy of these patients, plaque radiotherapy appears most favorable.
Recommended Citation
Das, Chandana and Shields, Carol L, "Radiotherapy for iris metastasis from esophageal carcinoma: A series of three cases." (2016). Wills Eye Hospital Papers. Paper 57.
https://jdc.jefferson.edu/willsfp/57
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 License.
PubMed ID
27433035
Comments
This article has been peer reviewed. It was published in: Oman journal of ophthalmology.
Volume 9, Issue 2, June 2016, Pages 93-96.
The published version is available at DOI: 10.4103/0974-620X.184526
Copyright © 2016 Oman Ophthalmic Society
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