Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis

Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis

Introduction We report on a case of isolated metastatic breast cancer to the medial rectus muscle. This entity is exceedingly rare. Case A 44-year-old female with a history of breast cancer presented with unilateral maxillary symptoms and was treated for sinusitis. Over time, she developed ocular pa...

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Main Authors: Rami Abo-Shasha M.D., Camilla Stepniak B.M.Sc., David H. Yeh M.D., Brian Rotenberg M.D., M.P.H.
Format: Article
Language:English
Published: SAGE Publishing 2016-03-01
Series:Allergy & Rhinology
Online Access:https://doi.org/10.2500/ar.2016.7.0143
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spelling doaj-0d9980c1f02641a9ac3c977319147cb22020-11-25T03:40:12ZengSAGE PublishingAllergy & Rhinology2152-65672016-03-01710.2500/ar.2016.7.0143Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary SinusitisRami Abo-Shasha M.D.0Camilla Stepniak B.M.Sc.1David H. Yeh M.D.2Brian Rotenberg M.D., M.P.H.3Department of Ophthalmology, Western University, London, Ontario, CanadaDepartment of Schulich School of Medicine & Dentistry, Western University, London, Ontario, CanadaDepartment of Otolaryngology–Head and Neck Surgery, Western University, London, Ontario, CanadaDepartment of Otolaryngology–Head and Neck Surgery, Western University, London, Ontario, CanadaIntroduction We report on a case of isolated metastatic breast cancer to the medial rectus muscle. This entity is exceedingly rare. Case A 44-year-old female with a history of breast cancer presented with unilateral maxillary symptoms and was treated for sinusitis. Over time, she developed ocular pain, diplopia, blurred vision and eventually complete adduction deficit. Results T1-weighted magnetic resonance imaging revealed a medial rectus lesion. Biopsy via transnasal transorbital endoscopic approach revealed metastatic mammary carcinoma. Discussion Metastatic disease to the orbit should be considered in the differential diagnosis of refractory maxillary sinus pain in patients with a known underlying malignancy.https://doi.org/10.2500/ar.2016.7.0143
collection DOAJ
language English
format Article
sources DOAJ
author Rami Abo-Shasha M.D.
Camilla Stepniak B.M.Sc.
David H. Yeh M.D.
Brian Rotenberg M.D., M.P.H.
spellingShingle Rami Abo-Shasha M.D.
Camilla Stepniak B.M.Sc.
David H. Yeh M.D.
Brian Rotenberg M.D., M.P.H.
Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
Allergy & Rhinology
author_facet Rami Abo-Shasha M.D.
Camilla Stepniak B.M.Sc.
David H. Yeh M.D.
Brian Rotenberg M.D., M.P.H.
author_sort Rami Abo-Shasha M.D.
title Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
title_short Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
title_full Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
title_fullStr Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
title_full_unstemmed Metastatic Mammary Carcinoma to the Orbit Masquerading as Maxillary Sinusitis
title_sort metastatic mammary carcinoma to the orbit masquerading as maxillary sinusitis
publisher SAGE Publishing
series Allergy & Rhinology
issn 2152-6567
publishDate 2016-03-01
description Introduction We report on a case of isolated metastatic breast cancer to the medial rectus muscle. This entity is exceedingly rare. Case A 44-year-old female with a history of breast cancer presented with unilateral maxillary symptoms and was treated for sinusitis. Over time, she developed ocular pain, diplopia, blurred vision and eventually complete adduction deficit. Results T1-weighted magnetic resonance imaging revealed a medial rectus lesion. Biopsy via transnasal transorbital endoscopic approach revealed metastatic mammary carcinoma. Discussion Metastatic disease to the orbit should be considered in the differential diagnosis of refractory maxillary sinus pain in patients with a known underlying malignancy.
url https://doi.org/10.2500/ar.2016.7.0143
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AT brianrotenbergmdmph metastaticmammarycarcinomatotheorbitmasqueradingasmaxillarysinusitis
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