Abstract
Bilateral orbital metastases are extremely rare, and no previous literatures have reported bilateral multiple orbital metastases treated with stereotactic radiosurgery (SRS). We present the impressive images of a patient with history of metastatic leiomyosarcoma with newly diagnosed bilateral multiple orbital metastases. The pre-SRS MRI showed a right and two left orbital metastatic lesions. The patient underwent SRS, and the post-SRS MRI at 2-month following SRS showed a decrease in size of the treated lesions. The PET scan at 5 months after the treatment showed no avid F-fluorodeoxyglucose uptakes in the three orbital metastases. The presenting symptoms are all improved after the treatment without no adverse effects from the SRS. Our interesting images show the presence of multiple lesions in the orbital spaces with excellent treatment responses post SRS. This is the first report of a patient who has bilateral and multiple orbital metastases that were successfully treated with standalone SRS.
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