Cancer-associated Retinopathy with Neuroendocrine Combined Large-cell Lung Carcinoma and Adenocarcinoma

Intern Med. 2019 Nov 15;58(22):3289-3294. doi: 10.2169/internalmedicine.2313-18. Epub 2019 Jul 22.

Abstract

We herein report the case of a 74-year-old woman with a lung tumor. She presented with complaints of blurred and rapid, progressively impaired vision. A visual field examination revealed bilateral concentric contraction of the visual field and a ring scotoma in the right eye. She was diagnosed with cancer-associated retinopathy (CAR) combined with large-cell neuroendocrine carcinoma (LCNEC) of the lung via a visual field examination and underwent thoracoscopic surgery. CAR has been mostly associated with small-cell lung cancer (SCLC). Combined LCNEC is relatively rare and accounts for 10.6% of all LCNECs. This is the first case report of CAR-combined LCNEC.

Keywords: cancer-associated retinopathy; combined large-cell neuroendocrine carcinoma; vision impairment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Large Cell / diagnosis
  • Carcinoma, Large Cell / pathology*
  • Female
  • Humans
  • Lung / pathology
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / pathology*
  • Paraneoplastic Syndromes, Ocular / pathology*
  • Paraneoplastic Syndromes, Ocular / surgery