Abstract
Ocular metastasis is an uncommon occurrence that usually has a poor prognosis. The most frequent causes of intraocular metastases as reported in the literature are breast and lung cancers. Intraocular metastasis originating from esophageal cancer is very rare. We discuss a case of 58 years old man known case of adenocarcinoma of the esophagogastric junction presenting with ocular metastasis in King Abdulaziz Medical City, Jeddah, Saudi Arabia. Clinical symptoms led to the investigations and diagnosis of the ocular metastasis which without these symptoms it would have been missed. We concluded that a careful and good review of the whole body is essential in the optimal diagnosis of metastatic lesions especially when it comes to a rare metastasis like ocular metastasis from esophageal cancer.
Highlights
The most common pattern of esophageal cancer metastases is to the lymph nodes, lung, liver, bones, adrenal glands, and brain
Intraocular metastasis originating from esophageal cancer is very rare
We concluded that a careful and good review of the whole body is essential in the optimal diagnosis of metastatic lesions especially when it comes to a rare metastasis like ocular metastasis from esophageal cancer
Summary
The most common pattern of esophageal cancer metastases is to the lymph nodes, lung, liver, bones, adrenal glands, and brain. On the other hand, unexpected metastasis spread to uncommon sites has increasingly been reported and affected the pathway of its diagnosis, staging as well as management. Esophageal cancer is one of the most fatal cancers globally ranking 8th among other cancers due to its extremely aggressive nature and poor life expectancy. Unexpected metastasis to unusual sites such as skin, eye, muscle, and heart has been reported, affecting the diagnosis, staging, and treatment. We present a case of a patient with esophageal cancer with ocular metastasis in our institute (King Abdulaziz Medical City, Jeddah, Saudi Arabia) hoping for a better understanding of this rare presentation of the esophageal cancers, its nature, diagnosis and management
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