Inaugural Orbital Metastasis of a Mediastinal-Pulmonaryadenocarcinoma
Published: 2020-12-26
Page: 383-387
Issue: 2020 - Volume 3 [Issue 2]
Bajjouk Salma
Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Bouchaar Mounia
Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Guerroum Hind
Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Haddougui Soukaina
Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Essadki Nabil
Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Reda Karim
Mohammed V. Military Instruction Hospital, Rabat, Morocco.
Oubaaz Abdelbarre
Mohammed V. Military Instruction Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
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.
Keywords: Orbital metastasis, mediastinal pulmonary, adenocarcinoma, lung cancer