Raies Ghanem*, Abdullah Altwairgi and Abdullah Alsharm
Department of Medical Oncology, Comprehensive Cancer Center, Saudi ArabiaFulltext PDF
The metastatic involvement of the orbit in malignant tumors is a very rare diagnosed condition. Primary breast cancer is incriminated in the majority of these cases. We describe a case of a right orbital metastasis in a 41 year old lady, previously diagnosed stage IV breast cancer with extensive lung and bone metastases, presenting with six nerve palsy. A CT scan and Magnetic Resonance Imaging (MRI) of brain and orbits revealed a right orbital metastatic lesion involving the medial rectus and inferior oblique muscles. At the time of presentation of her eye symptoms, she was on chemotherapy with docetaxel, trastuzumab and pertuzumab. Eye symptoms regressed almost completely during the following months. A follow up orbital CT scan was performed, showing significant regression of the tumor. A review of the literature and the current case, reveal that the appearance of eye symptoms in patients with a history of breast cancer should always be investigated with a consideration of ocular metastatic disease.
Orbital metastases; Breast cancer; Ductal carcinoma; Orbit
Ghanem R, Altwairgi A, Alsharm A. Unusual Extraocular Muscles Involvement from Ductal Breast Carcinoma: A Case Report with Literature Review. J Gynecol Oncol. 2020; 3(1): 1026.