case_images: PMC4386109_01
case_images: The Goldman visual field test showed constriction of visual fields in both eyes.
case_images: cro-0008-0153-g01.jpg
case_images: PMC4386109_01_cro-0008-0153-g01.jpg
case_images: F1
case_images: His visual field test showed marked constriction of visual field in both eyes (fig. 1).
case_images: Fundus pictures (a) and dark-adapted ERG (b). a Fundus pictures [(i) right eye, (ii) left eye] appear nearly normal with vascular attenuation. b Dark-adapted ERG from a healthy subject (a) and from this case (b). ERG of our patient showed an extinguished pattern.
case_images: cro-0008-0153-g02.jpg
case_images: PMC4386109_01_cro-0008-0153-g02.jpg
case_images: F2
case_images: However, narrowing of the retinal arteries was observed (fig. 2a). The dark-adapted ERG showed that the amplitudes of a- and b-waves were almost extinguished (fig. 2b).
case_images: Roentgenogram of the chest. a Pretreatment and b after 2 cycles of first-line chemotherapy (CDDP and irinotecan). A pretreatment roentgenogram revealed swelling of the right hilum and pleural thickening in the right middle lobe. After chemotherapy, the tumors markedly shrank.
case_images: cro-0008-0153-g03.jpg
case_images: PMC4386109_01_cro-0008-0153-g03.jpg
case_images: F3
case_images: A roentgenogram of the chest and a CT scan showed swelling of the right hilar lymph nodes and pleural thickening in the right middle lobe (fig. 3a). After 1 cycle of chemotherapy, the patient experienced remarkable tumor shrinkage (fig. 3b).