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Case Reports
. 2011 Mar 15:2011:bcr1220103580.
doi: 10.1136/bcr.12.2010.3580.

Unilateral orbital pain and eyelid swelling in a 46-year-old woman: orbital metastasis of occult invasive lobular carcinoma of breast masquerading orbital pseudotumour

Shilpi Gupta  1 , Vijaya Raj Bhatt, Seema Varma
Affiliations
Case Reports

Unilateral orbital pain and eyelid swelling in a 46-year-old woman: orbital metastasis of occult invasive lobular carcinoma of breast masquerading orbital pseudotumour

Shilpi Gupta et al. BMJ Case Rep. .

Abstract

Orbital metastasis is very infrequent in breast cancer; more so as an initial and sole presenting feature. The authors report a case of orbital metastasis of occult breast carcinoma in a 46-year-old woman, who presented with unilateral orbital pain and eyelid swelling. This was initially diagnosed as orbital pseudotumour and treated with steroids. The development of breast symptoms and finding of breast nodule, 3 months later, led to the diagnosis of invasive lobular carcinoma of the breast with orbital metastases, confirmed on biopsy.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Coronal section of T1 weighted fat saturation postcontrast MRI of bilateral orbits showing infiltrative changes and enhancement surrounding left optic nerve.
Figure 2
Figure 2
Coronal section of T2 weighted non-contrast MRI of bilateral orbits showing thickening of the left medial and inferior extraocular muscles.
See this image and copyright information in PMC

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