Purpose: Malignant tumors mestatatic to the orbit are rare and only about 5% of orbital tumors are metastasis. We report on orbital surgery in a patient with orbital metastasis from small cell lung carcinoma (SCLC). Methods: A 75-year-old-man complained of pain in the left orbital region and proptosis. Head CT scan showed a left retrobulbar mass compressing the optical nerve. Chest and body CT scans showed a round-shaped mass at the apex of the left inferior lobule of the lung and widespread nodal involvement. Results: A surgical intervention on the left orbit through a lateral approach was performed, with complete removal of the mass. Histology showed features of a non-anaplastic SCLC. A complete restoration of visul acuity was obtained. Conclusions: A debulking orbital surgery, in order to relieve optic nerve compressio, should be offered to the patients with orbital metastasis.
Ulivieri, S., Toninelli, S., Giorgio, A., Fruschelli, M., Toti, P., Miracco, C., et al. (2013). Benefit of surgery in presence of orbital metastasis. BULLETIN DE LA SOCIÉTÉ BELGE D'OPHTALMOLOGIE(322), 43-47.
Benefit of surgery in presence of orbital metastasis
Giorgio A;FRUSCHELLI, MARIO;TOTI, PAOLO;MIRACCO, CLELIA;Oliveri G.
2013-01-01
Abstract
Purpose: Malignant tumors mestatatic to the orbit are rare and only about 5% of orbital tumors are metastasis. We report on orbital surgery in a patient with orbital metastasis from small cell lung carcinoma (SCLC). Methods: A 75-year-old-man complained of pain in the left orbital region and proptosis. Head CT scan showed a left retrobulbar mass compressing the optical nerve. Chest and body CT scans showed a round-shaped mass at the apex of the left inferior lobule of the lung and widespread nodal involvement. Results: A surgical intervention on the left orbit through a lateral approach was performed, with complete removal of the mass. Histology showed features of a non-anaplastic SCLC. A complete restoration of visul acuity was obtained. Conclusions: A debulking orbital surgery, in order to relieve optic nerve compressio, should be offered to the patients with orbital metastasis.File | Dimensione | Formato | |
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https://hdl.handle.net/11365/43120