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Pleomorphic Invasive Lobular Cancer of the Breast Presenting with Orbital Metastasis: A Case Report

Author(s):

Ebru Yılmaz, Nilgün Güldoğan, Aydan Arslan* and Ceyda Civan  

Abstract:


Background: Orbital metastasis of breast cancer is an unusual condition, especially in the absence of a previous diagnosis of primary breast cancer. The main MRI findings in patients with orbital metastasis are retroorbital soft tissue with thickening of extraocular muscles. Paradoxical enophtalmos secondary to fibrosis can be seen.

Case Report: In this case report we present a 75-year-old female patient with left eye pain and blurred vision and retraction. Although there was no evidence of malignancy in the biopsy of the orbita; since the patient's complaints continued despite idiopathic pseudotumor treatment; mammography was recommended to rule out the possibility of breast cancer metastasis. Her mammography revealed a suspicious lesion in the left breast and proved to be pleomorphic invasive lobular cancer.

Conclusion: Breast cancer metastasis should be kept in mind in women with pseudotumor -like involvement of the orbita.

Keywords:

Pleomorphic invasive lobular breast carcinoma, Orbital metastasis, enophthalmos, MRI

Affiliation:

Acıbadem Altunizade Hospital Breast Clinic Radiology İstanbul, Acıbadem Altunizade Hospital Breast Clinic Radiology İstanbul, Zonguldak Maternity and Child Health Hospital Radiology Department, Zoguldak, Sultan 2. Abdulhamid Han Training and Research Hospital, İstanbul



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