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Orbital metastases from prostate carcinoma.
1Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52242.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 1, 1988
Summary
Orbital metastases from prostate carcinoma are uncommon. Rapidly developing osteoblastic orbital lesions in elderly men strongly suggest metastatic prostate cancer.
Area of Science:
- Ophthalmology
- Oncology
- Urology
Background:
- Prostate carcinoma is rarely a source of orbital metastasis.
- Orbital metastases can present with various symptoms including proptosis, pain, and decreased vision.
Observation:
- A clinical series of eight cases of orbital metastases from prostate carcinoma was studied.
- The mean age of patients was 72.1 years.
- In three patients, orbital masses led to the initial diagnosis of prostate carcinoma.
Findings:
- Four of six patients with computed tomography showed predominantly osteoblastic lesions.
- Osteoblastic lesions were common in orbital metastases from prostate cancer.
Implications:
- Rapid development of osteoblastic orbital lesions in elderly men is highly suggestive of metastatic prostate carcinoma.
- This finding aids in the early diagnosis of prostate cancer metastasis to the orbit.