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An orbital masquerade syndrome: a case report
1Department of Ophlthalmology, University of Benin Teaching Hospital, P. M. B. 1111, Benin City, Nigeria. afeomoti@yahoo.com
West African Journal of Medicine
|February 18, 2006
Summary
A rare case of squamous cell carcinoma mimicked orbital tumors. Ultrasound imaging proved crucial in diagnosing this invasive large cell keratinizing cancer, highlighting its diagnostic value.
Area of Science:
- Ophthalmology
- Oncology
- Medical Imaging
Background:
- Panophthalmitis and orbital cellulitis can present with symptoms mimicking orbital tumors.
- Accurate diagnosis is essential for appropriate management of orbital masses.
Observation:
- A 20-year-old female presented with right panophthalmitis and secondary orbital cellulitis.
- The condition initially posed a diagnostic challenge to multiple ophthalmologists.
- An orbital ultrasound revealed an underlying orbital mass.
Findings:
- Histological examination identified the mass as a well-differentiated, invasive, large cell keratinizing squamous cell carcinoma.
- This diagnosis was unexpected given the initial presentation.
Implications:
- Orbital ultrasound is a valuable tool for detecting orbital tumors, even when clinical presentation is misleading.
- Squamous cell carcinoma should be considered in the differential diagnosis of orbital masses presenting with inflammatory signs.
- Early and accurate diagnosis through imaging is critical for effective treatment of orbital malignancies.