Síndrome mascarada como primeira manifestação de adenocarcinoma pulmonar: relato de caso e revisão de literatura

• Autor(a) principal: Farias, Charles Costa De
• Data de Publicação: 2003
• Outros Autores: Garcia, Claudio Renato, Muccioli, Cristina [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492003000200022; http://repositorio.unifesp.br/handle/11600/1603
• topic: Lung neoplasms; Adenocarcinoma; Choroid neoplasms; Neoplasm metastasis; Case report; Uveíte; Neoplasias pulmonares; Adenocarcinoma; Neoplasias da coróide; Metástase neoplásica; Relato de caso

PURPOSE: To describe a case of masquerade syndrome as the first manifestation of lung adenocarcinoma. METHODS: A 57- year-old female was referred with a 6-month history of blurred vision in her right eye. She was treated for relapsing uveitis but signs and symptons remained despite treatment with topical steroids. On physical examination she had conjuctival hyperemia, moderate cilliary injection and choroidal peripapillary lesion. Ancillary examinations were requested. RESULTS: A lung adenocacirnoma was diagnosed as the primary lesion. The choroidal peripapillary lesion in her right eye was consistent with the appearance of a choroidal metastatic lesion. CONCLUSIONS: The incidence of uveal metastasis ranges from 0.7 to 12% in patients with pulmonary tumors. Treatment depends on characteristics such as size of the lesion, number of metastases, visual acuity, bilaterality and the patient´s general health. As confirmed by this case, ocular involvement may be the first clinical manifestation of lung adenocarcinoma.