Case Notes Choroidal Carcinoma Metastatic from the Male Breast*

Case Report Male ultramarine worker, aged 41.-In October, 1943, biopsy from a tumour in the left breast showed a spheroidal-celled carcinoma, and a radical mastectomy with skin grafting was performed followed by deep x-ray therapy. In March, 1951, episcleritis. developed in the left eye; the visual acuity was found to be 6/6 and the episcleritis settled under local treatment. By August, 1951, this eye was blind, but not painful, and examination showed an extensive shallow retinal detachment from 4 to 10 o'clock with ballooning of the retina at about 6 o'clock, beneath which there appeared to be a solid mass near the ora serrata. The eye was enucleated on the suspicion of primary choroidal neoplasm. Further examination of the patient, however, revealed several shadows in the left lung, left phrenic paralysis, and extensive osteoclastic changes