Iris metastasis as the initial presentation of upper gastrointestinal tract carcinoma: A case report

M. A.Rehman Siddiqui, Syed Zohaib Maroof Hussain, Muhammed Mubarak

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2 Citations (Scopus)


Background: We report a case of a patient with iris metastasis as the initial manifestation of a systemic cancer: Upper gastrointestinal tract carcinoma. Case presentation: A 24-year-old Asian man presented to our hospital with complaints of red left eye, decreased visual acuity, pain, and photophobia for about 3 weeks with no prior history of cancer or any other medical abnormality. Ocular examination showed a pinkish white lesion on the superonasal part of the iris. The patient's intraocular pressure was progressively increasing despite medications, followed by lymphadenopathy 4 weeks later. Comprehensive examination was performed along with a complete systemic workup, which detected systemic malignancy. Histopathology and immunohistochemistry revealed signet ring cells, which indicated an upper gastrointestinal tract tumor as a primary source of iris metastasis. The systemic condition of the patient deteriorated rapidly thereafter and led to his death in the 12th week of the disease. Conclusion: A red eye with iris lesions in otherwise healthy individuals should be considered as a possible initial manifestation of underlying systemic malignancy. Prompt referral of such patients to an oncologist is warranted.

Original languageEnglish
Article number367
JournalJournal of Medical Case Reports
Issue number1
Publication statusPublished - 13 Dec 2019


  • Iris metastasis
  • Signet ring cells
  • Upper gastrointestinal tract tumor


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