Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine
A 69-year-old woman sustained progressive proptosis for 2 months. The patient had undergone surgery for resection of colon cancer 10 years prior, which was considered to have been completely cured 5 years prior. She was also aware of a hard mass in her left breast, but it had been left untreated. Fu...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321007032 |
| _version_ | 1818573912660770816 |
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| author | Kensaku Makino, MD Satoshi Tsutsumi, MD Yuki Takaki, MD Senshu Nonaka, MD Hidehiro Okura, MD Hisato Ishii, MD |
| author_facet | Kensaku Makino, MD Satoshi Tsutsumi, MD Yuki Takaki, MD Senshu Nonaka, MD Hidehiro Okura, MD Hisato Ishii, MD |
| author_sort | Kensaku Makino, MD |
| collection | DOAJ |
| description | A 69-year-old woman sustained progressive proptosis for 2 months. The patient had undergone surgery for resection of colon cancer 10 years prior, which was considered to have been completely cured 5 years prior. She was also aware of a hard mass in her left breast, but it had been left untreated. Furthermore, she experienced back pain for a month. Blood examination revealed an elevated level of serum carcinoembryonic antigen, at 17.4 ng/mL (< 5). Computed tomography (CT) revealed a tumor occupying the superolateral part of the right orbit, with intratumoral calcifications and destructive changes in the lateral orbital wall. On magnetic resonance imaging, it appeared as a heterogeneously enhancing, extraconal tumor, 44 mm × 31 mm in maximal dimension, extending into the middle fossa and the adjacent subcutaneous region. Fluorodeoxyglucose positron emission tomography/CT revealed abnormal accumulation in the left breast, T12 vertebra, liver, and lung, in addition to the orbital tumor. The patient underwent total tumor resection through a lateral orbitotomy. Histological examination of the tumor was highly suggestive of a metastatic colon cancer. Late metastasis should be assumed as a differential diagnosis that can be determined only through histological verification. |
| first_indexed | 2024-12-15T00:19:16Z |
| format | Article |
| id | doaj.art-05220e376b5d487bae9be67404a9ac4a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-15T00:19:16Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-05220e376b5d487bae9be67404a9ac4a2022-12-21T22:42:22ZengElsevierRadiology Case Reports1930-04332022-01-01171512Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spineKensaku Makino, MD0Satoshi Tsutsumi, MD1Yuki Takaki, MD2Senshu Nonaka, MD3Hidehiro Okura, MD4Hisato Ishii, MD5Department of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanCorresponding author.; Department of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, JapanA 69-year-old woman sustained progressive proptosis for 2 months. The patient had undergone surgery for resection of colon cancer 10 years prior, which was considered to have been completely cured 5 years prior. She was also aware of a hard mass in her left breast, but it had been left untreated. Furthermore, she experienced back pain for a month. Blood examination revealed an elevated level of serum carcinoembryonic antigen, at 17.4 ng/mL (< 5). Computed tomography (CT) revealed a tumor occupying the superolateral part of the right orbit, with intratumoral calcifications and destructive changes in the lateral orbital wall. On magnetic resonance imaging, it appeared as a heterogeneously enhancing, extraconal tumor, 44 mm × 31 mm in maximal dimension, extending into the middle fossa and the adjacent subcutaneous region. Fluorodeoxyglucose positron emission tomography/CT revealed abnormal accumulation in the left breast, T12 vertebra, liver, and lung, in addition to the orbital tumor. The patient underwent total tumor resection through a lateral orbitotomy. Histological examination of the tumor was highly suggestive of a metastatic colon cancer. Late metastasis should be assumed as a differential diagnosis that can be determined only through histological verification.http://www.sciencedirect.com/science/article/pii/S1930043321007032Breast cancerColon cancerLate metastasisOrbital tumor |
| spellingShingle | Kensaku Makino, MD Satoshi Tsutsumi, MD Yuki Takaki, MD Senshu Nonaka, MD Hidehiro Okura, MD Hisato Ishii, MD Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine Radiology Case Reports Breast cancer Colon cancer Late metastasis Orbital tumor |
| title | Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine |
| title_full | Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine |
| title_fullStr | Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine |
| title_full_unstemmed | Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine |
| title_short | Late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine |
| title_sort | late orbital metastasis from colon cancer complicated by multiple tumors in the breast lung liver and spine |
| topic | Breast cancer Colon cancer Late metastasis Orbital tumor |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321007032 |
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