Michelle Hui1, Rohan Merani2,3,4, Fiona Bonar5,6,7, Angela Hong8,9, Adrain Fung10

Purpose: To report the case of presumed choroidal metastasis from soft tissue myoepithelioma.
Method: Clinical history, histology and multimodal imaging.
Results: A 52-year-old man was referred with a two-week history of photopsiae in his left eye. His background medical history included known soft tissue myoepithelioma metastatic to his bone, lung, liver and chest wall. A large, raised, yellow choroi- dal lesion was identified nasal to and abutting the optic disc. This tumour demonstrated growth
1 month after presentation. The patient died with widespread metastatic disease 5 months after initial presentation.
Conclusion: Soft tissue malignant myoepithelioma is rare with common sites of metastases include the lung, lymph nodes, liver, soft tissue, brain and bone. This is the first known reported case of presumed choroidal metastasis from myoepithelioma. Soft tis- sue myoepithelioma should be included in the dif- ferential diagnosis of choroidal metastases.