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...

Full description

Saved in:
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
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!
cited_by cdi_FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93
cites cdi_FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93
container_end_page
container_issue 12
container_start_page e237158
container_title BMJ case reports
container_volume 13
creator Gaddi, Mairre James Sumang
Yuga, Ann Camille Quito
Dofitas, Rodney Banaria
Legaspi, Gerardo Dizon
description 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.
doi_str_mv 10.1136/bcr-2020-237158
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7725080</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2468061708</sourcerecordid><originalsourceid>FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93</originalsourceid><addsrcrecordid>eNqNkd1rFDEUxYMobql97psEfJGWsfmcZF4EKdoWCn1QwbeQZO9ss8xM1mSmsv99s2673QpCQyD3Jr8czuUgdEzJJ0p5feZ8qhhhpGJcUalfoQOqpKpUQ3693qtn6CjnJSmLU6EFf4tmnLOGMyUP0Pz7lBaQ1riNCcfkwmg73MNoc9kh4zbFHrsEpcfeJh-G2FschjAG23VrvEqQYRjDsMB_wnhb-rgoVzncwaZejbGovENvWttlOHo4D9HPb19_nF9W1zcXV-dfrisnGjZWc9LU0gvqtWNzSRpde02YawWvpVbc1RaYdkKBlhYUUSCYc4oAMCo8bxt-iD5vdVeT62Hui7FkO7NKobdpbaIN5vnLEG7NIt4ZpZgkmhSBjw8CKf6eII-mD9lD19kB4pQNE7WupZINLeiHf9BlnNJQxvtLkZoqogt1tqV8ijknaHdmKDGbEE0J0WxCNNsQy4_3-zPs-MfICnCyBVy_fIHa6RO8M_g_-h7qKbTo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2468061708</pqid></control><display><type>article</type><title>Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis</title><source>PubMed Central</source><creator>Gaddi, Mairre James Sumang ; Yuga, Ann Camille Quito ; Dofitas, Rodney Banaria ; Legaspi, Gerardo Dizon</creator><creatorcontrib>Gaddi, Mairre James Sumang ; Yuga, Ann Camille Quito ; Dofitas, Rodney Banaria ; Legaspi, Gerardo Dizon</creatorcontrib><description>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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-237158</identifier><identifier>PMID: 33293275</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>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</subject><ispartof>BMJ case reports, 2020-12, Vol.13 (12), p.e237158</ispartof><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93</citedby><cites>FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725080/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725080/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33293275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaddi, Mairre James Sumang</creatorcontrib><creatorcontrib>Yuga, Ann Camille Quito</creatorcontrib><creatorcontrib>Dofitas, Rodney Banaria</creatorcontrib><creatorcontrib>Legaspi, Gerardo Dizon</creatorcontrib><title>Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>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.</description><subject>Biopsy</subject><subject>Bisphosphonates</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>breast surgery</subject><subject>cancer intervention</subject><subject>Cancer therapies</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>Diagnosis, Differential</subject><subject>Diplopia</subject><subject>Exophthalmos - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>oncology</subject><subject>Orbit - diagnostic imaging</subject><subject>Orbit - pathology</subject><subject>Orbit - surgery</subject><subject>Orbital Neoplasms - complications</subject><subject>Orbital Neoplasms - secondary</subject><subject>Orbital Neoplasms - surgery</subject><subject>Pain</subject><subject>palliative procedures</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Radiation therapy</subject><subject>Surgery</subject><subject>Systemic diseases</subject><subject>Tumors</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqNkd1rFDEUxYMobql97psEfJGWsfmcZF4EKdoWCn1QwbeQZO9ss8xM1mSmsv99s2673QpCQyD3Jr8czuUgdEzJJ0p5feZ8qhhhpGJcUalfoQOqpKpUQ3693qtn6CjnJSmLU6EFf4tmnLOGMyUP0Pz7lBaQ1riNCcfkwmg73MNoc9kh4zbFHrsEpcfeJh-G2FschjAG23VrvEqQYRjDsMB_wnhb-rgoVzncwaZejbGovENvWttlOHo4D9HPb19_nF9W1zcXV-dfrisnGjZWc9LU0gvqtWNzSRpde02YawWvpVbc1RaYdkKBlhYUUSCYc4oAMCo8bxt-iD5vdVeT62Hui7FkO7NKobdpbaIN5vnLEG7NIt4ZpZgkmhSBjw8CKf6eII-mD9lD19kB4pQNE7WupZINLeiHf9BlnNJQxvtLkZoqogt1tqV8ijknaHdmKDGbEE0J0WxCNNsQy4_3-zPs-MfICnCyBVy_fIHa6RO8M_g_-h7qKbTo</recordid><startdate>20201208</startdate><enddate>20201208</enddate><creator>Gaddi, Mairre James Sumang</creator><creator>Yuga, Ann Camille Quito</creator><creator>Dofitas, Rodney Banaria</creator><creator>Legaspi, Gerardo Dizon</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201208</creationdate><title>Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis</title><author>Gaddi, Mairre James Sumang ; Yuga, Ann Camille Quito ; Dofitas, Rodney Banaria ; Legaspi, Gerardo Dizon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biopsy</topic><topic>Bisphosphonates</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - pathology</topic><topic>breast surgery</topic><topic>cancer intervention</topic><topic>Cancer therapies</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Chemotherapy</topic><topic>Diagnosis, Differential</topic><topic>Diplopia</topic><topic>Exophthalmos - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>oncology</topic><topic>Orbit - diagnostic imaging</topic><topic>Orbit - pathology</topic><topic>Orbit - surgery</topic><topic>Orbital Neoplasms - complications</topic><topic>Orbital Neoplasms - secondary</topic><topic>Orbital Neoplasms - surgery</topic><topic>Pain</topic><topic>palliative procedures</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Radiation therapy</topic><topic>Surgery</topic><topic>Systemic diseases</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaddi, Mairre James Sumang</creatorcontrib><creatorcontrib>Yuga, Ann Camille Quito</creatorcontrib><creatorcontrib>Dofitas, Rodney Banaria</creatorcontrib><creatorcontrib>Legaspi, Gerardo Dizon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaddi, Mairre James Sumang</au><au>Yuga, Ann Camille Quito</au><au>Dofitas, Rodney Banaria</au><au>Legaspi, Gerardo Dizon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis</atitle><jtitle>BMJ case reports</jtitle><stitle>BMJ Case Rep</stitle><addtitle>BMJ Case Rep</addtitle><date>2020-12-08</date><risdate>2020</risdate><volume>13</volume><issue>12</issue><spage>e237158</spage><pages>e237158-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>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.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>33293275</pmid><doi>10.1136/bcr-2020-237158</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1757-790X
ispartof BMJ case reports, 2020-12, Vol.13 (12), p.e237158
issn 1757-790X
1757-790X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7725080
source PubMed Central
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
title Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T16%3A15%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgery%20for%20orbital%20metastasis%20from%20breast%20carcinoma%20initially%20presenting%20with%20progressive%20proptosis&rft.jtitle=BMJ%20case%20reports&rft.au=Gaddi,%20Mairre%20James%20Sumang&rft.date=2020-12-08&rft.volume=13&rft.issue=12&rft.spage=e237158&rft.pages=e237158-&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr-2020-237158&rft_dat=%3Cproquest_pubme%3E2468061708%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b492t-d0965c41c8b2d50986c802bf4365873b6ae28b47e85ae707e42bb70ee214c3f93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2468061708&rft_id=info:pmid/33293275&rfr_iscdi=true