A report of orbital metastasis from a urinary bladder adenocarcinoma.

Abstract:

: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 × 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.

journal_name

Indian J Ophthalmol

authors

Yadav D,Singh M,Gupta K,Kaur M,Gupta P

doi

10.4103/ijo.IJO_1699_18

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

1377-1380

issue

8

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2019_67_8_1377_263119

journal_volume

67

pub_type

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