Open AccessMetastatic Breast Carcinoma to the Superior Oblique in a Male
Author(s) -
Yao Wang,
Priyatham S Mettu,
Amanda C. Maltry,
Andrew R. Harrison,
Ali Mokhtarzadeh
Publication year - 2017
Publication title -
ophthalmology and therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.189
H-Index - 17
eISSN - 2193-6528
pISSN - 2193-8245
DOI - 10.1007/s40123-017-0093-7
Subject(s) - medicine , diplopia , biopsy , radiology , surgery , stage (stratigraphy) , metastasis , breast carcinoma , breast cancer , cancer , paleontology , biology
We describe a case of breast cancer metastatic to the superior oblique, in a male. The patient was a 66-year-old Caucasian male with a history of stage IIIB rectal adenocarcinoma and stage IIA left breast carcinoma diagnosed 12 years and 5 years prior, respectively, who presented with headaches and intermittent diplopia. He underwent left total mastectomy with sentinel lymph node biopsy 6 years prior, which showed ER/PR+, HER2/neu-, moderately-differentiated, infiltrating ductal carcinoma with 3/14 positive nodes. He completed adjuvant doxorubicin/cyclophosphamide and oral tamoxifen, and prior routine surveillance imaging had found no evidence of recurrent disease. MRI of the orbit revealed a 0.7 × 1.4 × 1.9 cm mass in the superomedial right orbit in the region of the superior oblique. Transcaruncular orbitotomy with biopsy of the superior oblique revealed metastatic breast carcinoma. Unfortunately, he developed new metastases. Post-operatively, he continues to have good vision with minimal diplopia.