ABSTRACT
OBJECTIVE: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. CASE REPORT: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. DISCUSSION: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases.
Subject(s)
Adenocarcinoma, Scirrhous/secondary , Breast Neoplasms/pathology , Exophthalmos/diagnosis , Neoplasm Recurrence, Local/pathology , Orbital Neoplasms/secondary , Adenocarcinoma, Scirrhous/diagnosis , Adenocarcinoma, Scirrhous/drug therapy , Antineoplastic Agents/therapeutic use , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Diagnosis, Differential , Fatal Outcome , Female , Humans , Middle Aged , Orbital Neoplasms/diagnosis , Orbital Neoplasms/drug therapy , Tomography, X-Ray ComputedABSTRACT
Objetivo: Informar a los clínicos que las metástasis orbitarias son con frecuencia catalogadas de síndromes inflamatorios.Caso clínico: Se presenta el caso de una mujer de 61 años diagnosticada y tratada siete años antes de un carcinoma escirro de mama. La paciente aquejaba visión borrosa y proptosis en su ojo izquierdo como primera manifestación de la recidiva tumoral.Discusión: Cuando se diagnostica una inflamación orbitaria en una paciente mujer adulta, se debe realizar una meticulosa historia clínica, debido a que las metástasis orbitarias han sido descritas como manifestación inicial de malignidad en el 30 a 50% de los casos
Objective: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. Case report: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. Discussion: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases
Subject(s)
Female , Middle Aged , Humans , Adenocarcinoma, Scirrhous/secondary , Exophthalmos/diagnosis , Breast Neoplasms/pathology , Neoplasm Recurrence, Local/pathology , Orbital Neoplasms/secondary , Adenocarcinoma, Scirrhous/diagnosis , Adenocarcinoma, Scirrhous/drug therapy , Antineoplastic Agents/therapeutic use , Diagnosis, Differential , Fatal Outcome , Tomography, X-Ray Computed , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Orbital Neoplasms/diagnosis , Orbital Neoplasms/drug therapyABSTRACT
OBJECTIVE: Primary intraorbital mucoceles arising from the optic canal are extremely rare. We describe a patient with compressive optic neuropathy caused by an intraorbital mucocele. CLINICAL CASE: A 51-year-old woman presented with proptosis and reduced vision. Magnetic resonance imaging showed a mass compressing the optic nerve. There was no direct connection between any paranasal sinus and the mass cavity, as assessed in imaging studies and intraoperatively confirmed. The pathological diagnosis after the operation indicated a mucocele. DISCUSSION: Considering the absence of air pockets in the orbit, the mucocele might have originated from ectopic mucinous tissue that appeared during the development of the optic canal.
Subject(s)
Exophthalmos/etiology , Mucocele , Optic Atrophy/etiology , Orbital Diseases , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Middle Aged , Mucocele/complications , Mucocele/diagnosis , Mucocele/diagnostic imaging , Mucocele/surgery , Orbital Diseases/diagnostic imaging , Orbital Diseases/surgery , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Visual AcuityABSTRACT
Objetivo: Los mucoceles orbitarios primarios que crecen desde el canal óptico son extremadamente raros. Describimos una paciente con neuropatía óptica compresiva secundaria a un mucocele intraorbitario.Caso clínico: Una mujer de 51 años presentó proptosis y disminución de visión. La Resonancia Magnética Nuclear mostró una masa que comprimía el nervio óptico. No había comunicación entre los senos paranasales y la masa orbitaria, como se confirmó en los estudios de imagen y posteriormente en el intraoperatorio. El estudio anatomopatológico confirmó un mucocele.Discusión: Considerando la ausencia de neumatización de la órbita, el mucocele debe originarse de tejido mucinoso ectópico que aparece durante el desarrollo del canal óptico
Objective: Primary intraorbital mucoceles arising from the optic canal are extremely rare. We describe a patient with compressive optic neuropathy caused by an intraorbital mucocele. Clinical case: A 51-year-old woman presented with proptosis and reduced vision. Magnetic resonance imaging showed a mass compressing the optic nerve. There was no direct connection between any paranasal sinus and the mass cavity, as assessed in imaging studies and intraoperatively confirmed. The pathological diagnosis after the operation indicated a mucocele. Discussion: Considering the absence of air pockets in the orbit, the mucocele might have originated from ectopic mucinous tissue that appeared during the development of the optic canal
