Metastatic Breast Carcinoma to the Superior Oblique in a Male

We describe a case of breast cancer metastatic to the superior oblique, in a male. The patient was a 66-year-old Caucasian male with a history of stage IIIB rectal adenocarcinoma and stage IIA left breast carcinoma diagnosed 12 years and 5 years prior, respectively, who presented with headaches and...

Full description

Saved in:
Bibliographic Details
Published in:Ophthalmology and therapy 2017-12, Vol.6 (2), p.355-359
Main Authors: Wang, Yao, Mettu, Pradeep, Maltry, Amanda, Harrison, Andrew, Mokhtarzadeh, Ali
Format: Article
Language:English
Subjects:
Biopsy
Breast cancer
Case Report
Internal Medicine
Mammography
Medicine
Medicine & Public Health
Mens health
Metastasis
Ophthalmology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We describe a case of breast cancer metastatic to the superior oblique, in a male. The patient was a 66-year-old Caucasian male with a history of stage IIIB rectal adenocarcinoma and stage IIA left breast carcinoma diagnosed 12 years and 5 years prior, respectively, who presented with headaches and intermittent diplopia. He underwent left total mastectomy with sentinel lymph node biopsy 6 years prior, which showed ER/PR+, HER2/neu−, moderately-differentiated, infiltrating ductal carcinoma with 3/14 positive nodes. He completed adjuvant doxorubicin/cyclophosphamide and oral tamoxifen, and prior routine surveillance imaging had found no evidence of recurrent disease. MRI of the orbit revealed a 0.7 × 1.4 × 1.9 cm mass in the superomedial right orbit in the region of the superior oblique. Transcaruncular orbitotomy with biopsy of the superior oblique revealed metastatic breast carcinoma. Unfortunately, he developed new metastases. Post-operatively, he continues to have good vision with minimal diplopia.
ISSN:2193-8245
2193-6528
DOI:10.1007/s40123-017-0093-7