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

  • Kirsty L. Wiltshire Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia and the Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON
  • Norman Laperriere Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON
  • Robert G. Bristow Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON

Abstract

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.

Author Biographies

Kirsty L. Wiltshire, Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia and the Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON
Norman Laperriere, Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON
Robert G. Bristow, Department of Radiation Oncology, Princess Margaret Hospital (University Health Network), University of Toronto, Toronto, ON
How to Cite
Wiltshire, K., Laperriere, N., & Bristow, R. (1). Prolonged survival in a patient with choroidal metastases from urothelial bladder cancer. Canadian Urological Association Journal, 3(4), E36-E38. https://doi.org/10.5489/cuaj.1138
Section
Case Report