Abstract
IntroductionThe frequency of intra-orbital metastasis in systemic cancer is a controversial topic. Of all metastatic tumors to the orbit of the eye, breast carcinoma is considered to be the most prevalent. Orbital findings typically present themselves after the diagnosis of the primary tumor, with an average delay of three to six years. In spite of that, this study reports a case in which orbital manifestation was the initial symptom in breast carcinoma diagnosis.Case presentationA 66-year-old Italian Caucasian woman presented with a swelling located on the lower orbit of her right eye.ConclusionsPrevious cases report orbital manifestations discovered secondary to breast cancer. This case demonstrates that orbital symptoms may be the primary presentation of the disease. Orbital metastasis originating from breast cancer predicts widespread metastatic disease in other organs. In the presence of an ambiguous infiltrative orbital process, diagnostic examination of the breast is recommended.
Highlights
The frequency of intra-orbital metastasis in systemic cancer is a controversial topic
Previous cases report orbital manifestations discovered secondary to breast cancer
Orbital metastasis originating from breast cancer predicts widespread metastatic disease in other organs
Summary
Breast cancer presentation is not always straight forward. A patient may not detect a palpable mass. A symptom, not strictly associated with breast cancer, brought our patient to seek medical advice. In the presence of an ambiguous infiltrative orbital process, differential diagnosis must include breast cancer and diagnostic breast examination is highly recommended. Consent Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests The authors declare that they have no competing interests. Authors' contributions All the authors are members of the Surgical Breast Unit and everyone has taken part in the surgical approach or in the report preparation. All authors read and approved the final manuscript
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