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Editor,—Ocular metastases were previously thought to be rare.1 However, after having been extensively studied in patients with cancers, the incidence of ocular metastatic tumours increased.1-5 Haematological malignancy—including leukaemia, lymphoma, and multiple myeloma—is the most common primary cancer whereas mammary and pulmonary carcinomas are regarded as the most frequent intraocular metastatic carcinomas.1-5 We report an intraocular metastatic endodermal sinus (yolk sac) tumour which, to our knowledge, has not yet been described.
A 45 year old man presented with blurred vision in the left eye. Funduscopic study suggested a posterior choroidal tumour causing retinal detachment. Additional physical examination disclosed a 10 cm mass in the anterior wall of the chest.
Computed tomography of the thorax exhibited a mass, 13 × …