Francisco J. Ascaso, MD, Jesús M. Castillo, MD, Francisco J

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Bilateral Choroidal Metastases Revealing an Advanced Non-Small Cell Lung Cancer Francisco J. Ascaso, MD, Jesús M. Castillo, MD, Francisco J. García, MD, José A. Cristóbal, MD, Ana Fuertes, MD, Angel Artal, MD The Annals of Thoracic Surgery Volume 88, Issue 3, Pages 1013-1015 (September 2009) DOI: 10.1016/j.athoracsur.2009.02.019 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A right eye fundus examination showed 2 yellow choroidal metastases (arrows) along the temporal vascular arcades. The Annals of Thoracic Surgery 2009 88, 1013-1015DOI: (10.1016/j.athoracsur.2009.02.019) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A left eye funduscopy revealed a choroidal metastasis (arrows) at the posterior pole with associated serous retinal detachment. The Annals of Thoracic Surgery 2009 88, 1013-1015DOI: (10.1016/j.athoracsur.2009.02.019) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 High-resolution computed tomography scan showed mediastinal (preaortics, aortopulmonary window, paratracheal, precarinal) and left hilar lymph nodes. The Annals of Thoracic Surgery 2009 88, 1013-1015DOI: (10.1016/j.athoracsur.2009.02.019) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 A transbronchial biopsy specimen showed a poorly differentiated non-small cell lung carcinoma, immunohistochemically positive for cytokeratin 7 and thyroid transcription factor 1 (original magnification ×400). The Annals of Thoracic Surgery 2009 88, 1013-1015DOI: (10.1016/j.athoracsur.2009.02.019) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Bone gammagraphy demonstrated multiple skeletal metastases. The Annals of Thoracic Surgery 2009 88, 1013-1015DOI: (10.1016/j.athoracsur.2009.02.019) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions