Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis

We present a 45-year-old woman with metastatic breast disease who initially presented with progressive proptosis of her right eye causing limited motility, diplopia and eye pain. MRI done showed an avidly enhancing right sphenoorbital mass causing displacement in the lateral and superior recti muscl...

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Bibliographic Details
Published in:BMJ case reports 2020-12, Vol.13 (12), p.e237158
Main Authors: Gaddi, Mairre James Sumang, Yuga, Ann Camille Quito, Dofitas, Rodney Banaria, Legaspi, Gerardo Dizon
Format: Article
Language:English
Subjects:
Biopsy
Bisphosphonates
Breast cancer
Breast Neoplasms - pathology
breast surgery
cancer intervention
Cancer therapies
Case Report
Case reports
Chemotherapy
Diagnosis, Differential
Diplopia
Exophthalmos - etiology
Female
Humans
Magnetic Resonance Imaging
Medical prognosis
Metastasis
Middle Aged
Neurosurgery
oncology
Orbit - diagnostic imaging
Orbit - pathology
Orbit - surgery
Orbital Neoplasms - complications
Orbital Neoplasms - secondary
Orbital Neoplasms - surgery
Pain
palliative procedures
Patients
Quality of life
Radiation therapy
Surgery
Systemic diseases
Tumors
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Summary:We present a 45-year-old woman with metastatic breast disease who initially presented with progressive proptosis of her right eye causing limited motility, diplopia and eye pain. MRI done showed an avidly enhancing right sphenoorbital mass causing displacement in the lateral and superior recti muscles with lysis and infiltration of the greater sphenoid wing and lateral orbital wall. The patient underwent surgery resulting in immediate relief of proptosis and resolution of symptoms. Although surgery is not recommended for orbital metastasis as it is not curative, it should be considered as a treatment option as it can provide relief to patients and improve their quality of life.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-237158