Choroidal and cutaneous metastasis from gastric adenocarcinoma

Figure 1 Cutaneous metastasis lesion in the head. A: One of the two cutaneous nodules on his head at first visit; B: The size of the cutaneous tumor was rapidly enlarged at 1 mo after the first visit.

Figure 2 An elevated choroidal neoplasm. A: Fundoscopic examination; B: Optical coherence tomographic examination; C: Magnetic resonance imaging (MRI) T1-weighted image; D: MRI T2-weighted image.

Figure 3 N-isopropyl-p-(123I) iodoamphetamine single photon emission computed tomography findings. 123 Iodoamphetamine single photon emission computed tomography showed no accumulation in bilateral eyes.

Figure 4 Esophagogastroduodenoscopy and pathological findings of gastric cancer. A: Esophagogastroduodenoscopy was performed and revealed an advanced gastric cancer; B: The gastric biopsy specimens revealed moderately differentiated adenocarcinoma (hematoxylin and eosin stain, ×400).

Figure 5 Response to chemotherapy. A: The primary gastric lesion was markedly reduced after 2 cycles of chemotherapy; B, C: The choroidal metastatic tumor was also markedly reduced; D: The larger cutaneous nodule of head enlarged from 25 mm to 32 mm, and headache vanished.