Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected

We report the case of ocular metastasis in a 48-year-old woman presenting left eye redness and pain. The patient was followed in another health institution for nodular scleritis and received systemic corticosteroids with moderate improvement. Medical history revealed that she was diagnosed three yea...

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Main Authors:	Belghmaidi Sarah, Ghazza Ahmed, Boutgayout Saloua, Hajji Ibtissam, Moutaouakil Abdeljalil, Dref Maria, Fakhri Anass, Raiss Hanane
Format:	Article
Language:	English
Published:	Hindawi Limited 2020-01-01
Series:	Case Reports in Ophthalmological Medicine
Online Access:	http://dx.doi.org/10.1155/2020/8689463

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spelling	doaj-73b5f8f9e09143c3a7a02bc6e1d3eff82020-11-25T02:10:04ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67222090-67302020-01-01202010.1155/2020/86894638689463Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be NeglectedBelghmaidi Sarah0Ghazza Ahmed1Boutgayout Saloua2Hajji Ibtissam3Moutaouakil Abdeljalil4Dref Maria5Fakhri Anass6Raiss Hanane7Ophthalmology Department, Mohammed VI University Hospital, Marrakech, MoroccoOphthalmology Department, Mohammed VI University Hospital, Marrakech, MoroccoOphthalmology Department, Mohammed VI University Hospital, Marrakech, MoroccoOphthalmology Department, Mohammed VI University Hospital, Marrakech, MoroccoOphthalmology Department, Mohammed VI University Hospital, Marrakech, MoroccoHistopathology Department, Mohammed VI University Hospital, Marrakech, MoroccoHistopathology Department, Mohammed VI University Hospital, Marrakech, MoroccoHistopathology Department, Mohammed VI University Hospital, Marrakech, MoroccoWe report the case of ocular metastasis in a 48-year-old woman presenting left eye redness and pain. The patient was followed in another health institution for nodular scleritis and received systemic corticosteroids with moderate improvement. Medical history revealed that she was diagnosed three years ago with invasive ductal carcinoma of the left breast treated by tumorectomy with ganglion dissection. An ophthalmological examination found a hard scleral nodule with vascular architectural disorganization. A biopsy was performed, and the histopathological study revealed the presence of secondary tumor proliferation of poorly differentiated carcinoma of mammary cancer. This case report shows the fact that any unusual ocular presentation, even one simulating anterior scleritis, in a patient with a history of breast cancer should raise suspicion of metastasis.http://dx.doi.org/10.1155/2020/8689463
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Belghmaidi Sarah Ghazza Ahmed Boutgayout Saloua Hajji Ibtissam Moutaouakil Abdeljalil Dref Maria Fakhri Anass Raiss Hanane
spellingShingle	Belghmaidi Sarah Ghazza Ahmed Boutgayout Saloua Hajji Ibtissam Moutaouakil Abdeljalil Dref Maria Fakhri Anass Raiss Hanane Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected Case Reports in Ophthalmological Medicine
author_facet	Belghmaidi Sarah Ghazza Ahmed Boutgayout Saloua Hajji Ibtissam Moutaouakil Abdeljalil Dref Maria Fakhri Anass Raiss Hanane
author_sort	Belghmaidi Sarah
title	Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected
title_short	Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected
title_full	Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected
title_fullStr	Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected
title_full_unstemmed	Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected
title_sort	nodular scleritis revealing metastasis of breast cancer: diagnosis not to be neglected
publisher	Hindawi Limited
series	Case Reports in Ophthalmological Medicine
issn	2090-6722 2090-6730
publishDate	2020-01-01
description	We report the case of ocular metastasis in a 48-year-old woman presenting left eye redness and pain. The patient was followed in another health institution for nodular scleritis and received systemic corticosteroids with moderate improvement. Medical history revealed that she was diagnosed three years ago with invasive ductal carcinoma of the left breast treated by tumorectomy with ganglion dissection. An ophthalmological examination found a hard scleral nodule with vascular architectural disorganization. A biopsy was performed, and the histopathological study revealed the presence of secondary tumor proliferation of poorly differentiated carcinoma of mammary cancer. This case report shows the fact that any unusual ocular presentation, even one simulating anterior scleritis, in a patient with a history of breast cancer should raise suspicion of metastasis.
url	http://dx.doi.org/10.1155/2020/8689463
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Nodular Scleritis Revealing Metastasis of Breast Cancer: Diagnosis Not to Be Neglected

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