Teodoru Cosmin Adrian, Roman Mihai Dan, Dura Horațiu, Cerghedean-Florea Maria-Emilia
Clinical Surgical Department, Faculty of Medicine, University "Lucian Blaga" Sibiu, 550169 Sibiu, Romania.
Department of Orthopedics and Trauma, Faculty of Medicine, University "Lucian Blaga" Sibiu, 550169 Sibiu, Romania.
Diagnostics (Basel). 2023 Feb 18;13(4):780. doi: 10.3390/diagnostics13040780.
We report a case of orbital metastasis of infiltrative breast carcinoma in a 65-year-old man. The patient was diagnosed with stage four breast cancer one year before, for which a mastectomy was performed. He refused postoperative radiotherapy and chemotherapy at that time. He had a history of lung, liver, and mediastinal metastases. At admission, he presented with blurred vision, diplopia, ocular pain, and mild swelling of the upper lid of the left eye (LE). Computed tomography (CT) of the brain and orbit revealed a front-ethmoidal tissue mass with left orbital and frontal intracranial extension. Ophthalmologic examination revealed exophthalmos on the LE with a downward and outward deviation of the eyeball, proptosis, and intraocular pressure (IOP) of 40 mmHg. The patient's treatment started with topical maximal anti-glaucomatous drops and radiotherapy sessions. After three weeks of follow-up, there was a gradual improvement of local symptoms and signs and a normal IOP.
我们报告一例65岁男性浸润性乳腺癌眼眶转移的病例。该患者一年前被诊断为四期乳腺癌，当时接受了乳房切除术。他当时拒绝了术后放疗和化疗。他有肺、肝和纵隔转移病史。入院时，他出现视力模糊、复视、眼痛和左眼上睑轻度肿胀。脑部和眼眶计算机断层扫描（CT）显示前筛窦组织肿块，向左眼眶和额叶颅内延伸。眼科检查发现左眼眼球突出，眼球向下和向外偏斜，眼球突出，眼压（IOP）为40 mmHg。患者的治疗开始于局部最大剂量的抗青光眼滴眼液和放疗疗程。经过三周的随访，局部症状和体征逐渐改善，眼压恢复正常。
