An early orbital metastasis from breast cancer: A case report
| Autor: | Faiçal Slimani, Bahaa Razem |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures Orbital metastasis Case Report Disease Extraocular muscles Asymptomatic Metastasis 03 medical and health sciences 0302 clinical medicine Breast cancer Biopsy medicine skin and connective tissue diseases Diplopia medicine.diagnostic_test business.industry Surgical biopsy medicine.disease eye diseases medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology sense organs medicine.symptom business Orbit (anatomy) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Orbital metastases of breast cancer are an exceptional event. • Orbital metastases are generally asymptomatic and therefore misdiagnosed. • Extraocular muscles are rarely infiltrated by metastatic tumors from distant sites. • Metastases usually disseminate late from breast cancer. Our case report is an unusual case of early orbital infiltration from breast cancer. Introduction Orbital metastases from solid cancers are infrequent or underestimated, since they represent only 1–13% of tumors of the orbit. They are even less frequent in breast cancer and are rarely diagnosed. We report a case of an early diagnosed orbital metastasis from breast cancer to an extra ocular muscle. Case report We report the case of a 33-year-old female patient who presented, following the diagnosis of her breast cancer, headache, a progressive decrease in visual acuity of the right eye and diplopia. Brain imaging revealed a tissue process at the expense of the internal rectus muscle, which biopsy pointed to a secondary lesion of breast cancer. Discussion Extraocular muscles are rarely infiltrated by metastasis from distant sites. They are mostly asymptomatic and suggest a systematic spread of the disease. The treatment is generally palliative and the prognosis is generally poor. Conclusion Orbital metastases from breast cancer are certainly rare but are associated with significant morbidity. In order to make a precise diagnosis and offer an appropriate treatment, healthcare professionals must remain vigilant in the face of any ophthalmological symptoms. |
| Databáze: | OpenAIRE |
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