Orbital metastasis mimicking subperiosteal abscess

Area of Science:

• Ophthalmology
• Oncology
• Pathology

Background:

• Orbital cellulitis is a common orbital infection.
• Prostate cancer is a prevalent malignancy in men.

Observation:

• A case of prostate cancer metastatic to the orbit was initially misdiagnosed.
• The patient presented with symptoms suggestive of orbital cellulitis and a subperiosteal abscess.

Findings:

• Metastatic prostate cancer can present as an orbital mass.
• Absence of typical sinusitis symptoms may indicate a non-infectious etiology.

Implications:

• Orbital metastasis should be included in the differential diagnosis of orbital cellulitis.
• Prompt recognition of metastatic disease can improve patient outcomes.