Vision Loss from Choroidal and Pituitary Metastases Secondary to Renal Cell Carcinoma: A Case Report

Laura D. Selby; Hillary C. Stiefel; Alison H. Skalet; Molly S. Cardenal; Kavita V. Bhavsar; Kimberly M. Winges

doi:10.1080/01658107.2018.1454479

Vision Loss from Choroidal and Pituitary Metastases Secondary to Renal Cell Carcinoma: A Case Report

Laura D. Selby, Hillary C. Stiefel, Alison H. Skalet, Molly S. Cardenal, Kavita V. Bhavsar, Kimberly M. Winges

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis.

Original language	English (US)
Pages (from-to)	391-398
Number of pages	8
Journal	Neuro-Ophthalmology
Volume	42
Issue number	6
DOIs	https://doi.org/10.1080/01658107.2018.1454479
State	Published - Nov 2 2018

Keywords

Choroidal
bitemporal hemianopia
metastasis
pituitary
renal cell carcinoma

ASJC Scopus subject areas

Ophthalmology
Clinical Neurology

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10.1080/01658107.2018.1454479

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title = "Vision Loss from Choroidal and Pituitary Metastases Secondary to Renal Cell Carcinoma: A Case Report",

abstract = "A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis.",

keywords = "Choroidal, bitemporal hemianopia, metastasis, pituitary, renal cell carcinoma",

author = "Selby, {Laura D.} and Stiefel, {Hillary C.} and Skalet, {Alison H.} and Cardenal, {Molly S.} and Bhavsar, {Kavita V.} and Winges, {Kimberly M.}",

note = "Publisher Copyright: {\textcopyright}, This work was authored as part of the Contributor's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 USC. 105, no copyright protection is available for such works under US Law.",

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AU - Stiefel, Hillary C.

AU - Skalet, Alison H.

AU - Cardenal, Molly S.

AU - Bhavsar, Kavita V.

AU - Winges, Kimberly M.

N1 - Publisher Copyright: ©, This work was authored as part of the Contributor's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 USC. 105, no copyright protection is available for such works under US Law.

PY - 2018/11/2

Y1 - 2018/11/2

N2 - A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis.

AB - A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis.

KW - Choroidal

KW - bitemporal hemianopia

KW - metastasis

KW - pituitary

KW - renal cell carcinoma

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Vision Loss from Choroidal and Pituitary Metastases Secondary to Renal Cell Carcinoma: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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