[Metastatic clear cell renal cell carcinoma: a potential mimicker of choroidal melanoma]

Magy Onkol. 2022 Jun 20;66(2):157-161. Epub 2021 Jul 1.
[Article in Hungarian]

Abstract

While metastases are the most common intraocular malignancies, ocular metastases of renal cell carcinoma are rare. The most frequent primary malignancy of the eye is uveal melanoma. The common ocular localization is the choroid in both cases. The clinical differentiation of choroidal metastasis from renal cell carcinoma and choroidal melanoma malignum is a diagnostic challenge for the ophthalmologist. We present two cases where renal cell carcinoma had metastasized to the choroid. Enucleation was performed in a 61- and a 71-year-old male patient with suspected advanced choroidal malignant melanoma following biomicroscopic and B-scan ultrasonography examination. Histopathological examination confirmed clear-cell renal cell carcinoma in both cases. The clinical and ultrasonographic appearance of clear-cell renal cell carcinoma metastasis may mimic choroidal malignant melanoma, and may only be suspected if a primary renal cell carcinoma is already established.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Renal Cell* / diagnostic imaging
  • Carcinoma, Renal Cell* / surgery
  • Choroid Neoplasms* / diagnostic imaging
  • Choroid Neoplasms* / surgery
  • Humans
  • Male
  • Melanoma* / diagnostic imaging
  • Melanoma* / surgery
  • Uveal Melanoma
  • Uveal Neoplasms

Supplementary concepts

  • Clear-cell metastatic renal cell carcinoma