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Published on: March 12, 2018
[An orbital metastasis as the presentation of lung adenocarcinoma]
E Campos-Mollo1, M A Moya-Moya, L E Pérez-González
1Servicio de Oftalmología, Hospital General Universitario de Alicante, Alicante, Spain. ezequiel.campos@alu.umh.es
Introduction:
Metastasis of primary tumours can involve the orbit via the blood stream. In 19% of cases this type of metastasis is the first oncologic symptom.
Case Report:
A 42-year-old woman with a hard, well-defined nodule situated anteriorly in the right orbit and with mild associated inflammation. MR showed an oval image with homogeneous gadolinium uptake. On excision-biopsy a ductal cancer was found and determined on CAT scan to be of pulmonary origin. Chemotherapy was given and no recurrence occurred in the orbit.
Conclusion:
Ophthalmologic examination was the first step in the diagnosis of a metastasis of adenocarcinoma of the lung.

