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Type: Outro documento
Title: Orbital metastasis of breast cancer mimicking invasive fungal rhinosinusitis
Author: Tabai, Mayara
Hazboun, Igor Moreira
Sakuma, Emerson Taro Inoue
Sampaio, Marcelo Hamilton
Sakano, Eulalia
Abstract: A range of traumatic, vascular, inflammatory, infectious, and neoplastic processes can affect the orbit and its structures. In the area of otolaryngology, the rhino-orbital-cerebral involvement of invasive fungal rhinosinusitis can affect the orbit, which may look like initially a rhinosinusitis or even mimic malignancy. Case Presentation. Female patient, 32 years old, with headache and ocular proptosis. She was using prednisone in immunosuppressive doses for a year and had breast cancer treated three years earlier. The initial CT scan showed opacification of the sphenoid and ethmoid sinuses, left intraorbital involvement and contrast impregnation in the cavernous sinus. The biopsy resulted positive for invasive ductal carcinoma of the breast. Discussion. The initial CT scan of our patient showed both signs of early changes of invasive fungal rhinosinusitis (IFR) and possible metastatic involvement. The intracranial extension and ocular involvement are usually the most common signs of IFR (first hypothesis). Among metastases at the orbit and the eye, breast and lung carcinomas are the most frequent. Conclusion. Although several studies on the differential diagnosis of orbital lesions exist, especially when it concerns the involvement of the nasal cavity, the diagnosis by imaging is still a challenge.
Subject: Metástase
Neoplasias da mama
Country: Estados Unidos
Editor: Hindawi
Rights: Fechado
Identifier DOI: 10.1155/2016/2913241
Date Issue: 2016
Appears in Collections:FCM - Artigos e Outros Documentos

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