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Triple orbital metastases from prostate cancer
1Neurosurgery Department, Acibadem Eskisehir Hospital, Acibadem University, Istanbul, Turkey.
Neurologia I Neurochirurgia Polska
|September 4, 2016
Summary
Metastatic prostate cancer rarely spreads to the orbit, causing triple orbital metastases involving the eye, temporal bone, and muscle. This case highlights the need to consider prostate cancer in patients with unexplained orbital masses and vision changes.
Area of Science:
- Oncology
- Ophthalmology
- Pathology
Background:
- Prostate carcinoma commonly metastasizes to bone, causing osteoblastic and osteolytic lesions.
- Orbital metastases from prostate cancer are infrequent, with bone involvement being the most typical presentation.
Observation:
- A 73-year-old man with a history of prostate adenocarcinoma presented with unilateral proptosis and blurred vision.
- Imaging and biopsy revealed an intraorbital mass involving periocular structures, temporal bone, and temporal muscle.
Findings:
- The patient was diagnosed with triple orbital metastases from prostate adenocarcinoma, a previously unreported presentation.
- Surgical excision of the intraorbital mass was performed.
Implications:
- This case underscores the importance of considering metastatic prostate cancer in the differential diagnosis of orbital masses, even with atypical presentations.
- Ophthalmologists and oncologists should be aware of the potential for extensive orbital involvement in advanced prostate cancer.
