A report of orbital metastasis from a urinary bladder adenocarcinoma

被引：4
作者：
Yadav, Deepti [1 ]
Singh, Manpreet [1 ]
Gupta, Kirti [2 ]
Kaur, Manpreet [1 ]
Gupta, Pankaj [1 ]
机构：
[1] Post Grad Inst Med Educ & Res, Dept Ophthalmol, Chandigarh, India
[2] Post Grad Inst Med Educ & Res, Dept Histopathol, Chandigarh, India
来源：
INDIAN JOURNAL OF OPHTHALMOLOGY | 2019年 / 67卷 / 08期
关键词：
Eyelid retraction; orbital metastasis; proptosis; restriction of extraocular movements; urinary bladder adenocarcinoma; UROTHELIAL CARCINOMA;
D O I：
10.4103/ijo.IJO_1699_18
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
A 60-year-old man presented with sudden-onset proptosis of the left eye and intermittent diplopia of 2 months duration. Ophthalmic examination revealed bilateral eyelid retraction, left eye proptosis and a firm, non-tender mass (2 cm x 1.5 cm) in left supero-medial orbit with restricted extraocular movements. Contrast-enhanced computed tomography showed a well-defined, enhancing antero-medial orbital mass which was removed via anterior orbitotomy approach. The histopathology/ immunohistochemistry showed adenocarcinoma; metastasis of urothelial origin. The oncology consultation and metastatic workup revealed a urinary bladder carcinoma with distant metastasis. Our patient expired within 6 months of diagnosis. The ophthalmic symptoms due to orbital metastasis may be the first presentation of some cancer patients.
引用
收藏
页码：1377 / 1380
页数：4
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