Inaugural Orbital Metastasis of a Mediastinal-Pulmonaryadenocarcinoma
Bajjouk Salma, Bouchaar Mounia, Guerroum Hind, Haddougui Soukaina, Essadki Nabil, Reda Karim, Oubaaz Abdelbarre
Asian Journal of Case Reports in Surgery · pp. 383–387 · Published 26 Dec 2020
Abstract
Orbital metastases are a rare disease entity compared to choroidal metastases, and they are only rarely the first of a primary cancer. The primary tumor is often breast cancer, prostate cancer and then lung cancer. Orbital metastases generally induce an isolated exophthalmos, which appears rapidly. Orbito-cerebral MRI is the imaging method of choice for the diagnosis of orbital metastases. But a fine needle biopsy of the orbital mass is the most reliable method to confirm the diagnosis. Unfortunately, the vital prognosis is poor and the treatment will be palliative. We report the case of a 67-year-old male patient, chronically smoking, who presented with an inaugural orbital metatasis from pulmonary adenocarcinoma. Ocular metastasis was revealed in our patient by exophthalmos associated with reduced visual acuity. Unfortunately, the patient died after a few weeks, testifying to the poor prognosis of these orbital metastases.
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