[Orbital metastases in colorectal cancer: a case report].
CLINICAL CASE: A 32-year-old male, with colon cancer stage IV, resistant to chemotherapy, was referred to our department due
to palpebral oedema, conjunctival chemosis, severe exophthalmos, complete ptosis in left eye, and limitation in eye movements,
mainly in abduction and supraversion. In the orbital MR scan we observed two nodular lesions in the left orbital, with involvement
of the superior rectus-elevator muscle of upper eyelid complex and external rectus muscle, suggestive of metastases. Due to
the patient generally feeling unwell, radiotherapy was not considered, and an intravenous bolus of corticoids was given, without
response, resulting in the death of the patient.
DISCUSSION: Orbital metastases usually originate from breast and lung cancer, with those secondary to colon cancer being much less frequent. The treatment is palliative, based on intravenous corticoids, and, above all, radiotherapy, and, only in cases with a long-term survival, surgery.
Servicio de Oftalmología, Hospital Universitario Central de Asturias (H.U.C.A), Oviedo, España. firstname.lastname@example.org
SourceArchivos de la Sociedad Española de Oftalmología 87:7 2012 Jul pg 216-9
Pub Type(s)Case Reports