Tsutsui Shinichi, Kawata Koto, Ubagai Tsutomu, Okimoto Satoshi, Fujihara Megumu, Maeda Takashi, Sonoda Takashi
J Surg Case Rep. 2022 Jan 21;2022(1):rjab619. doi: 10.1093/jscr/rjab619. eCollection 2022 Jan.
We herein report a case of orbital metastasis from the breast cancer in a 58-year-old woman presenting with visual disturbance and bilateral periorbital swelling. She had undergone radical mastectomy for right breast cancer 9 years previously and been receiving hormone therapy for bone metastasis of breast cancer for the past 4 years. Computed tomography and magnetic resonance imaging revealed an ill-defined mass in the bilateral orbits, whereas an excisional biopsy confirmed metastasis of invasive lobular carcinoma (ILC) of the breast. The appearance of eye symptoms in patients who have a history of breast cancer, especially ILC should be investigated, with a consideration of orbital metastasis.
我们在此报告一例58岁女性乳腺癌眼眶转移病例,该患者出现视力障碍和双侧眶周肿胀。她9年前因右乳腺癌接受了根治性乳房切除术,在过去4年中一直在接受乳腺癌骨转移的激素治疗。计算机断层扫描和磁共振成像显示双侧眼眶有边界不清的肿块,而切除活检证实为乳腺浸润性小叶癌(ILC)转移。对于有乳腺癌病史的患者,尤其是ILC患者出现眼部症状时,应考虑眼眶转移并进行检查。