CHOROIDAL SARCOMA WITH METASTASIS IN THE OPPOSITE ORBIT

Abstract

THE DETAILS of this case are submitted for publication partly because of its rarity, only one similar case having been found in the Jiterature (Philps and Ashton, 1949), and partly because of certain interesting details in the diagnosis and treatment. The patient described by Philps and Ashton, a woman aged 59 years, developed 2D hypermetropia, exophthalmos, and a palpable tumour in the left orbit 10 years after excision of the right eye for a choroidal melanoma. A tumour was removed from the muscle cone by a lateral orbitotomy, and 6 months later the loss of central vision, hyper- metropia, and exophthalmos had been cured. Comparison of the sections of the orbital tumour with that of the choroid left little doubt that the second tumour was a metastasis from the first. Our own case is strikingly similar.