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Systemic chemotherapy and tamoxifen induced regression of choroidal metastasis from a breast carcinoma in a male

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Author(s): Shome Debraj | Jayadev Chaitra | Gadgil Darshana | Natarajan Sundaram | Jain Vandana

Journal: Indian Journal of Ophthalmology
ISSN 0301-4738

Volume: 55;
Issue: 6;
Start page: 475;
Date: 2007;
Original page

Keywords: Choroidal metastasis | male breast carcinoma | tamoxifen

ABSTRACT
We report a case of a 55-year-old male patient with breast carcinoma, who developed choroidal metastasis. The patient had undergone mastectomy for carcinoma of right breast, five years ago. The patient was advised close follow-up for the left eye, as he was already on tamoxifen therapy (started a month ago) for spinal metastasis. On last follow-up, a year later, the choroidal lesion had completely scarred, with no recurrences. Systemic hormonal therapy like tamoxifen given for the breast primary and other systemic metastases may cause regression of the choroidal metastasis, thereby avoiding ocular radiotherapy. Medline search revealed only one published case of regression of choroidal metastasis from a male breast primary, on tamoxifen therapy.
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