Late choroidal metastasis secondary to papillary thyroid carcinoma

PURPOSE: To report a case of late choroidal metastasis from papillary thyro id carcinoma. METHODS: Interventional case report. A 43-year-old woman who had been treat ed for papillary thyroid carcinoma 30 years earlier presented for evaluatio n of vision loss in the left eye. Eight weeks before this presentation, an ophthalmologist had diagnosed a metastatic uveal mass in the left eye of th e patient. The clinical record was retrospectively reviewed. Ocular sonogra phy was performed to confirm the diagnosis of choroidal metastasis. RESULTS: The choroidal mass had the typical characteristics of a metastatic lesion. The patient was treated with a combination of brachytherapy and ch emotherapy. CONCLUSION: Papillary thyroid carcinoma can metastasize to the choroid many years after the initial diagnosis. (C) 2001 by Elsevier Science Inc. All r ights reserved.