| Title |
Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer |
| Creator |
Spitzer, SG; Bersani, TA; Mejico, LJ |
| Affiliation |
Department of Ophthalmology, SUNY Upstate Medical University, Syracuse, NY 13202, USA. |
| Abstract |
A 75-year-old woman had gradually progressive binocular diplopia and 2 months later had breast cancer diagnosed. Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of all extraocular muscles bilaterally. A right orbital biopsy was consistent with metastatic breast carcinoma. Positron emission tomography, bone scan, and computed tomography of the chest, abdomen, and pelvis failed to disclose other evidence of breast cancer metastases. It is unusual to encounter metastatic breast cancer affecting every extraocular muscle before the diagnosis of the primary carcinoma. |
| Subject |
Older people; Biopsy; Breast Neoplasms, pathology; Carcinoma, complications; Carcinoma, diagnosis; Carcinoma, secondary; Diplopia, etiology; Female; Humans; Magnetic Resonance Imaging; Muscle Neoplasms, complications; Muscle Neoplasms, diagnosis; Muscle Neoplasms, secondary; Neoplasm Invasiveness; Oculomotor Muscles, pathology |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225418 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6dr61jp/225418 |
