Munakomi Sunil, Chaudhary Samrita, Chaudhary Pramod, Thingujam Jagdish, Mohan Kumar Bijoy, Cherian Iype
Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar, Nepal.
F1000Res. 2017 Apr 5;6:430. doi: 10.12688/f1000research.11247.1. eCollection 2017.
Orbital metastasis from lung cancer as an initial presenting symptom is a rare entity, which may paradoxically delay the diagnosis and initiation of correct management, due to the confusion of it being primary orbital pathology. Herein we report a case of a 58 year old woman, who presented with painful orbital swelling along with diminution in her vision. The patient was initially thought to have a primary eye lesion; however chest X-ray was suggestive of a lung mass, which was confirmed by chest computed topography followed by ultrasound guided fine needle aspiration cytology. The patient was then referred to a cancer centre for further management. This case report aims to increase the knowledge about this metastasis as a probable cause of orbital symptoms in certain subsets of patients, so that correct therapeutic decisions may be made in the future.
以眼眶转移作为首发症状的肺癌是一种罕见情况，由于其被误诊为原发性眼眶病变，反而可能会延迟诊断和正确治疗的开始。在此，我们报告一例58岁女性患者，她表现为眼眶疼痛性肿胀并伴有视力下降。患者最初被认为患有原发性眼部病变；然而，胸部X线检查提示有肺部肿块，胸部计算机断层扫描及随后的超声引导下细针穿刺细胞学检查证实了这一情况。该患者随后被转诊至癌症中心进行进一步治疗。本病例报告旨在提高对这种转移作为某些特定患者眼眶症状可能原因的认识，以便未来能做出正确的治疗决策。
