Sclerochoroidal calcification as an incidental finding during oncological staging of a patient with parotid malignancy: A case report. Issue 4 (July 2022)

• Record Type: Journal Article
• Authors: Lassandro, Nicola Vito; Danieli, Luca; Nicolai, Michele; Pirani, Vittorio; Pelliccioni, Paolo; Mariotti, Cesare
• Is Part Of: European journal of ophthalmology. Volume 32:Issue 4(2022)
• Page Start: NP67
• Page End: NP70
• Publication Date: 2022-07
• Subjects: Sclerochoroidal calcification -- multimodal imaging -- parotid malignancy -- hyperparathyroidism; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/1120672121999629
• Languages: English
• ISSNs: 1120-6721

Abstract

Introduction: Incidental finding of mass lesion in the choroid represents a very challenging situation for the ophthalmologist. We describe a case of an incidental, computed tomography (CT)-hyperintense, choroidal lesion in a patient with parotid malignancy and renal failure, and how multimodal imaging helped us reaching the correct diagnosis. Case description: A 63-year-old man with parotid gland malignancy was brought to our attention because preoperative staging CT showed a hyperintense choroidal lesion of the right eye. Fundus examination showed a yellow elevated lesion near the superior temporal branch retinal artery. Enhanced depth imaging optical coherence tomography (EDI-OCT), A- and B-scan ultrasonography, and Indocyanine Green Angiography (ICGA) allowed us to exclude a malignant lesion and to diagnose a sclerochoroidal calcification. Conclusion: Multimodal imaging can guide the clinician to choose the appropriate therapeutic approach even in case of uncommon conditions like sclerochoroidal calcification.