Distant tumors and orbital involvement as initial manifestation
DOI:
https://doi.org/10.70313/2718.7446.v16.n03.242Keywords:
orbit, orbital tumors, metástasisAbstract
Objective: To review the short-term frequency of occurrence and characteristics of cases with orbital metastases from distant localized primary tumors.
Methods: Retrospective study of a case series was performed, including patients who had orbital metastases from distant localized primary tumors, seen between January and February 2023 in an ophthalmology service. Characteristics such as gender, age, location of the primary tumor, form of presentation, diagnostic methods, treatment, evolution and survival since diagnosis were evaluated.
Results: During the study period, 462 patients were seen in the ophthalmology department and three cases (0.6%) met the inclusion criteria. The mean age at diagnosis was 45.6 years (range 29-6). In all 3 cases the metastasis was unilateral. The locations of the primary tumor were breast, lung and testis. Only 1 patient had neoplastic disease diagnosed at the time of ophthalmologic consultation. The most frequent signs and symptoms were pain, bulbar hyperemia, proptosis, ptosis, diplopia and decreased visual acuity. Median survival was 3.8 months from the time of diagnosis. Patients with testicular and breast cancer died within a short time from the time of consultation.
Conclusions: In two months, 3 cases of orbital metastases of testicular, lung and breast tumors were found, representing 0.6% of the cases seen in our service. In two cases (66%), the orbital manifestations preceded the detection of the primary tumor.
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