PMC4241253_01
(a) Clinical image showing multiple 1 cm sized erythematic nodules on the head. (b) The excisional biopsied skin sample from the head showing individually scattered and nested pleomorphic tumor cells in the dermis, which is consistent with metastatic urothelial carcinoma (H&E staining x200).
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fig1
A physical examination revealed multiple erythematous nodules measuring 10 mm on the head and lower abdomen (Figure 1(a)). Excisional biopsy of the cutaneous nodule on the head revealed extensive infiltration of a high-grade urothelial carcinoma in the epithelium (Figure 1(b)).
An elevated choroidal neoplasm. (a) Fundoscopic findings of the right eye demonstrating choroidal metastasis (arrows). (b) Optical coherence tomographic findings showing subretinal fluid in the inferior aspect of the lesion compromising the fovea. ((c) and (d)) Ultrasound and MRI T2-weighted images demonstrating an elevated choroidal mass (arrow).
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fig2
Fundus imaging of the right eye in an optical coherence tomographic examination showed a yellow choroidal lesion associated with subretinal fluid (Figures 2(a) and 2(b)), while ultrasound and MRI T2-weighted images of the right orbit showed an elevated choroidal mass (Figures 2(c) and 2(d)).