American journal of ophthalmology case reports · 2022
Metastatic neuroendocrine tumors mimicking as primary ocular disease.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shen Alice, Haghighi Arezu, Liang Tom, Lee On-Tat, Gange William, DeBoer Charles, Akhter Mashal, Saber Maria Sibug, Patel Vivek R, Berry Jesse L, Gokoffski Kimberly Kinga
Аннотация
PURPOSE: To report two cases of metastatic neuroendocrine tumors masquerading as primary ocular disease.
OBSERVATIONS: Case 1 is a 38-year-old man who was referred with subacute onset diplopia and fluctuating ptosis suggestive of myasthenia gravis. Case 2 is a 21-year-old man who presented with blurry vision and was found to have a pigmented ciliary body mass and retinal detachment suggestive of uveal melanoma. Both patients were ultimately diagnosed with metastatic neuroendocrine tumors.
CONCLUSIONS AND IMPORTANCE: Neuroendocrine tumors, though rare and infrequently metastatic to the eye and orbit, can initially present with ocular signs. A broad differential and careful consideration of ocular and systemic symptoms are critical in such challenging cases.
OBSERVATIONS: Case 1 is a 38-year-old man who was referred with subacute onset diplopia and fluctuating ptosis suggestive of myasthenia gravis. Case 2 is a 21-year-old man who presented with blurry vision and was found to have a pigmented ciliary body mass and retinal detachment suggestive of uveal melanoma. Both patients were ultimately diagnosed with metastatic neuroendocrine tumors.
CONCLUSIONS AND IMPORTANCE: Neuroendocrine tumors, though rare and infrequently metastatic to the eye and orbit, can initially present with ocular signs. A broad differential and careful consideration of ocular and systemic symptoms are critical in such challenging cases.