Vision loss from choroidal and pituitary metastases secondary to renal cell carcinoma: a case report

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalNeuro-Ophthalmology
DOIs
StateAccepted/In press - Jun 18 2018

Fingerprint

Renal Cell Carcinoma
Subretinal Fluid
Neoplasm Metastasis
Hemianopsia
Optic Chiasm
Vision Disorders
Visual Fields
Tomography
Magnetic Resonance Imaging
Biopsy
Neoplasms
Clear-cell metastatic renal cell carcinoma

Keywords

  • bitemporal hemianopia
  • Choroidal
  • metastasis
  • pituitary
  • renal cell carcinoma

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

Cite this

Vision loss from choroidal and pituitary metastases secondary to renal cell carcinoma : a case report. / Selby, Laura D.; Stiefel, Hillary C.; Skalet, Alison; Cardenal, Molly S.; Bhavsar, Kavita; Winges, Kimberly.

In: Neuro-Ophthalmology, 18.06.2018, p. 1-8.

Research output: Contribution to journalArticle

Selby, Laura D. ; Stiefel, Hillary C. ; Skalet, Alison ; Cardenal, Molly S. ; Bhavsar, Kavita ; Winges, Kimberly. / Vision loss from choroidal and pituitary metastases secondary to renal cell carcinoma : a case report. In: Neuro-Ophthalmology. 2018 ; pp. 1-8.
@article{ce4259a1334a4d068232f85e4be8a1df,
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 = "bitemporal hemianopia, Choroidal, metastasis, pituitary, renal cell carcinoma",
author = "Selby, {Laura D.} and Stiefel, {Hillary C.} and Alison Skalet and Cardenal, {Molly S.} and Kavita Bhavsar and Kimberly Winges",
year = "2018",
month = "6",
day = "18",
doi = "10.1080/01658107.2018.1454479",
language = "English (US)",
pages = "1--8",
journal = "Neuro-Ophthalmology",
issn = "0165-8107",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Vision loss from choroidal and pituitary metastases secondary to renal cell carcinoma

T2 - a case report

AU - Selby, Laura D.

AU - Stiefel, Hillary C.

AU - Skalet, Alison

AU - Cardenal, Molly S.

AU - Bhavsar, Kavita

AU - Winges, Kimberly

PY - 2018/6/18

Y1 - 2018/6/18

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 - bitemporal hemianopia

KW - Choroidal

KW - metastasis

KW - pituitary

KW - renal cell carcinoma

UR - http://www.scopus.com/inward/record.url?scp=85048819325&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048819325&partnerID=8YFLogxK

U2 - 10.1080/01658107.2018.1454479

DO - 10.1080/01658107.2018.1454479

M3 - Article

AN - SCOPUS:85048819325

SP - 1

EP - 8

JO - Neuro-Ophthalmology

JF - Neuro-Ophthalmology

SN - 0165-8107

ER -