Gupta Shilpi, Bhatt Vijaya Raj, Varma Seema
Division of Hematology and Oncology, Department of Medicine, Sanford R Nalitt Institute for Cancer and Blood Related Diseases, Staten Island University Hospital, Staten Island, New York, USA.
BMJ Case Rep. 2011 Mar 15;2011:bcr1220103580. doi: 10.1136/bcr.12.2010.3580.
Orbital metastasis is very infrequent in breast cancer; more so as an initial and sole presenting feature. The authors report a case of orbital metastasis of occult breast carcinoma in a 46-year-old woman, who presented with unilateral orbital pain and eyelid swelling. This was initially diagnosed as orbital pseudotumour and treated with steroids. The development of breast symptoms and finding of breast nodule, 3 months later, led to the diagnosis of invasive lobular carcinoma of the breast with orbital metastases, confirmed on biopsy.
眼眶转移在乳腺癌中非常罕见;作为首发且唯一的表现特征则更为罕见。作者报告了一例46岁女性隐匿性乳腺癌眼眶转移的病例,该患者表现为单侧眼眶疼痛和眼睑肿胀。最初被诊断为眼眶假瘤并接受了类固醇治疗。3个月后出现乳腺症状并发现乳腺结节,从而诊断为乳腺浸润性小叶癌伴眼眶转移,活检得以证实。