Prolonged survival in a patient with choroidal metastases from urothelial bladder cancer

Kirsty L. Wiltshire, Norman Laperriere, Robert G. Bristow

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Choroidal metastases secondary to urothelial carcinoma are extremely rare and are usually associated with an extremely poor prognosis. We present a case of an 88-year-old man with newly diagnosed urothelial carcinoma of the bladder who presented with acute loss of vision before commencing definitive concurrent chemoradiotherapy to the bladder. Ophthalmological examination demonstrated bilateral choroidal metastases. He received palliative radiotherapy to the orbits and completed his planned radiotherapy to the bladder. He remained disease-free at last follow-up 4 years after the completion of treatment. We review the literature particularly with regard to diagnosis and management of choroidal metastases. Choroidal metastases should be considered in a patient with a history of urothelial cancer presenting with new onset of eye symptoms.

Original languageEnglish
JournalJournal of the Canadian Urological Association
Issue number4
Publication statusPublished - 2009

Research Beacons, Institutes and Platforms

  • Manchester Cancer Research Centre


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