Open AccessUnusual Presentation of Primary Orbital Microcystic Adnexal Carcinoma
Author(s) -
Wen Ying Wu-Chen,
Christina Y. Weng,
K D A Rajan,
Charles G. Eberhart,
Neil R Miller
Publication year - 2011
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0b013e31820aff28
Subject(s) - presentation (obstetrics) , medicine , diplopia , malignancy , orbit (dynamics) , enophthalmos , lesion , perineural invasion , dermatology , pathology , surgery , cancer , engineering , aerospace engineering
Microcystic adnexal carcinoma (MAC) is a rare and locally aggressive malignancy that occurs on the face, can invade deep tissue, and can rarely invade the orbit via perineural spread. It has been reported most often in the form of a cutaneous lesion. Although there have been 3 prior case reports of an orbital presentation of MAC, all have been from undiagnosed cutaneous or subcutaneous lesions. We report a rare case of a primary orbital MAC in a 39-year-old healthy woman who presented with progressive diplopia and enophthalmos without evidence of any cutaneous or subcutaneous lesions.