Gaddi Mairre James Sumang, Yuga Ann Camille Quito, Dofitas Rodney Banaria, Legaspi Gerardo Dizon
Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, Philippines
Division of Surgical Oncology, Head and Neck, Breast, Skin and Soft Tissue and Esophago-Gastric Surgery, Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, Philippines.
BMJ Case Rep. 2020 Dec 8;13(12):e237158. doi: 10.1136/bcr-2020-237158.
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.
我们报告了一名45岁患有转移性乳腺癌的女性，她最初表现为右眼进行性眼球突出，导致眼球运动受限、复视和眼痛。MRI检查显示右侧蝶眶区有一个明显强化的肿块，致使外直肌和上直肌移位，蝶骨大翼和眶外侧壁骨质溶解并受浸润。患者接受了手术，术后眼球突出立即缓解，症状消失。虽然手术对眼眶转移瘤并非治愈性手段，不推荐常规使用，但因其能缓解患者症状、提高生活质量，仍应被视为一种治疗选择。
