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Unilateral Blepharoptosis from Renal Cell Carcinoma
Federico Greco1, Lorenzo Sabatino1, Francesco Sabatino1
1Unit of Diagnostic Imaging and Unit of Otolaryngology, Università Campus Bio-Medico di Roma, Rome, Italy; Eye Unit, Ashford & St Peter's Hospitals NHS Foundation Trust, UK.
Journal of Kidney Cancer and VHL
|March 23, 2017
Summary
Renal cell carcinoma (RCC) can rarely metastasize to the orbit, causing acquired blepharoptosis (drooping eyelid). This case highlights unusual cancer spread and the importance of considering malignancy in ptosis diagnosis.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Blepharoptosis, or drooping eyelid, has congenital and acquired causes.
- Tumor metastasis is a recognized cause of acquired blepharoptosis.
- Renal cell carcinoma (RCC) typically metastasizes to common sites like lungs and liver, but unusual locations are documented.
Observation:
- A 47-year-old man presented with unilateral ptosis and blurred vision.
- Diagnostic workup revealed metastatic renal cell carcinoma as the cause.
- The metastasis affected the orbit, leading to the observed symptoms.
Findings:
- This case illustrates an unusual site of metastasis for renal cell carcinoma.
- The diagnosis involved identifying orbital metastasis from RCC.
- The patient's symptoms mimicked benign conditions but were indicative of malignancy.
Implications:
- Orbital metastasis from RCC can present with symptoms like ptosis and blurred vision.
- Clinicians should consider systemic malignancy, such as RCC, in the differential diagnosis of unexplained ptosis.
- Recognizing unusual metastatic patterns is crucial for timely diagnosis and treatment of advanced cancers.
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