# From Blurred Vision to Stage IV Lung Cancer: Choroidal Metastases

**Authors:** Shokri Siti-Sarah, Nurul Munirah Mohamad, Juanarita Jaafar, Ahmad Tajudin Liza-Sharmini

PMC · DOI: 10.7759/cureus.77835 · Cureus · 2025-01-22

## TL;DR

This paper discusses two cases where lung cancer was first detected through eye symptoms, highlighting the importance of considering ocular signs in diagnosing systemic diseases.

## Contribution

The paper adds to the understanding of atypical lung cancer presentations through choroidal metastases as initial symptoms.

## Key findings

- Choroidal metastases can be the first sign of advanced lung adenocarcinoma.
- Ocular symptoms should be considered in the diagnosis of systemic diseases.
- Two distinct cases of choroidal metastases presented as initial clinical manifestations of lung cancer.

## Abstract

Metastatic choroidal tumors are the most common type of intraocular malignancy and are often linked to advanced-stage systemic cancers. Lung cancer, a leading cause of cancer-related mortality worldwide, occasionally presents with choroidal metastasis as the initial sign of systemic disease. This case series, which presents two distinct presentations of choroidal metastases as the first clinical manifestation of advanced lung adenocarcinoma, contributes to the understanding of the atypical presentations of lung cancer and the importance of considering ocular symptoms in the diagnosis of systemic diseases.

## Linked entities

- **Diseases:** lung cancer (MONDO:0005138), lung adenocarcinoma (MONDO:0005061)

## Full-text entities

- **Diseases:** Lung Cancer (MESH:D008175), cancer (MESH:D009369), Metastatic choroidal tumors (MESH:D002830), lung adenocarcinoma (MESH:D000077192), Blurred (MESH:D014786), systemic disease (MESH:D034721), Choroidal Metastases (MESH:D009362), intraocular malignancy (MESH:C563596)

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11844774/full.md

## References

7 references — full list in the complete paper: https://tomesphere.com/paper/PMC11844774/full.md

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Source: https://tomesphere.com/paper/PMC11844774