[Choroidal metastases in lung cancer]

[Choroidal metastases of lung neoplasm treated with external radiotherapy and polychemotherapy: a study of four clinical cases]

AIM

To report the efficacy of external local radiotherapy in the treatment of choroidal metastases.

PATIENTS AND METHODS

The study reports four cases of patients with choroidal metastases of lung neoplasm confirmed by the bronchial biopsy. Polychemotherapy was associated with external radiotherapy of the ocular metastases.

DISCUSSION AND CONCLUSION

The external radiotherapy dose of 30 Gy to the posterior segment of the eye in 10 fractions was effective and seemed to be the most appropriate management of choroidal metastasis despite the use of the newest molecules in chemotherapy.

[Ocular metastases heralding non-small cell lung cancer: two cases]

INTRODUCTION

Ocular metastases are rare in patients with lung cancer, and exceptionally indicate the condition.

EXEGESIS

We report 2 patients with symptomatic ocular metastases indicating lung adenocarcinoma, involving the choroid in the first case and the optic disc in the other, associated with other metastases. No improvement of visual acuity was observed after chemotherapy and radiotherapy.

DISCUSSION

Ocular metastases may indicate lung cancer, and are usually associated with other metastatic sites. The global prognosis is poor but an early treatment should result in improvement of visual prognosis.