Abstract
This is a 47-year-old woman who presented to the Emergency room with acute onset of right eye diplopia and drooping of the eyelid associated with fatigue. On further examination, patient noted to have a large fungating right breast mass, reportedly been rapidly growing for the past few months. Also, patient found to have pancytopenia with multiple bony metastases. This is an interesting case that presents some of the rare metastatic patterns of breast cancer, which can include the orbit, and hematologic abnormalities due to spinal mets. Breast cancer is reported to be responsible for most ophthalmic mets, with it being the primary neoplasms of origin of 40% of the metastases to the orbit.
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