Аннотация:The fact that an excisional biopsy preceded the administration of palliative radiation therapy in this case does not suggest that this approach is necessarily indicated in other cases of retinal metastasis.However, some surgical considerations are worth noting.In this case of an isolated retinal metastasis with exudative detachment, removal of the entire lesion was not significantly more difficult than removing a smaller part of it.Because the remaining retina was mobile, reattachment by current methods was routine.The potential benefits in this patient may include the following: the restoration of some peripheral vision and depth perception through reattachment of remaining retina, histological characterization of the retinal mass, elimination of significant tumor mass (potentially making extension of tumor to adjacent structures less likely in the patient's lifetime), and psychological benefit to the patient from knowing that the visible tumor had been removed.
