Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report
A 74-year-old man presented with right ocular pain and diplopia. Contrast enhanced orbital computed tomography showed a bulging mass with homogenous density and mild homogeneous enhancement, at the right medial rectus muscle belly. Magnetic resonance imaging of the orbit showed a bulging mass along...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2017-09-01
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| Series: | 대한영상의학회지 |
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| Online Access: | https://doi.org/10.3348/jksr.2017.77.3.143 |
| _version_ | 1811277621154021376 |
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| author | Hae Won Kim Jee Young Kim Soo Ah Im Joo Wan Park Chan Kwon Park Yosep Chong |
| author_facet | Hae Won Kim Jee Young Kim Soo Ah Im Joo Wan Park Chan Kwon Park Yosep Chong |
| author_sort | Hae Won Kim |
| collection | DOAJ |
| description | A 74-year-old man presented with right ocular pain and diplopia. Contrast enhanced orbital computed tomography showed a bulging mass with homogenous density and mild homogeneous enhancement, at the right medial rectus muscle belly. Magnetic resonance imaging of the orbit showed a bulging mass along the medial rectus muscle, with superiorly displaced medial rectus muscle. The mass showed homogenous hyperintensity to extraocular muscle on T2-weighted images, and mild rim enhancement on contrast enhance T1-weighted images. Differential diagnosis of images included primary lesion of the extraocular muscle such as lymphoma, inflammatory pseudotumor and myositis. Chest X-ray incidentally revealed a left hilar mass. Histopathologic diagnosis of the hilar mass was confirmed as small cell lung cancer. A total body 18F-fluorodeoxy glucose positron emission tomography scan revealed abnormal uptake only in the left hilar region and the right orbit. Histopathologic diagnosis of the extraocular muscle mass was metastasis of the small cell lung cancer. Although there are few reports of small cell lung cancer with orbital metastasis, solitary extraocular muscle metastasis without other systemic metastasis is quite rare. Here, we report the case with an initial presentation of a solitary EOM metastasis, in a patient with small cell lung cancer. |
| first_indexed | 2024-04-13T00:20:03Z |
| format | Article |
| id | doaj.art-58ea9e26c80949a48453f3a3a038e791 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-04-13T00:20:03Z |
| publishDate | 2017-09-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-58ea9e26c80949a48453f3a3a038e7912022-12-22T03:10:48ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282017-09-01773143147https://doi.org/10.3348/jksr.2017.77.3.143Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case ReportHae Won Kim0Jee Young Kim1Soo Ah Im2Joo Wan Park3Chan Kwon Park4Yosep Chong5Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Radiology, Seoul St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Hospital Pathology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaA 74-year-old man presented with right ocular pain and diplopia. Contrast enhanced orbital computed tomography showed a bulging mass with homogenous density and mild homogeneous enhancement, at the right medial rectus muscle belly. Magnetic resonance imaging of the orbit showed a bulging mass along the medial rectus muscle, with superiorly displaced medial rectus muscle. The mass showed homogenous hyperintensity to extraocular muscle on T2-weighted images, and mild rim enhancement on contrast enhance T1-weighted images. Differential diagnosis of images included primary lesion of the extraocular muscle such as lymphoma, inflammatory pseudotumor and myositis. Chest X-ray incidentally revealed a left hilar mass. Histopathologic diagnosis of the hilar mass was confirmed as small cell lung cancer. A total body 18F-fluorodeoxy glucose positron emission tomography scan revealed abnormal uptake only in the left hilar region and the right orbit. Histopathologic diagnosis of the extraocular muscle mass was metastasis of the small cell lung cancer. Although there are few reports of small cell lung cancer with orbital metastasis, solitary extraocular muscle metastasis without other systemic metastasis is quite rare. Here, we report the case with an initial presentation of a solitary EOM metastasis, in a patient with small cell lung cancer.https://doi.org/10.3348/jksr.2017.77.3.143extraocular musclesmall cell lung cancermetastasiscomputed tomographymagnetic resonance imaging |
| spellingShingle | Hae Won Kim Jee Young Kim Soo Ah Im Joo Wan Park Chan Kwon Park Yosep Chong Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report 대한영상의학회지 extraocular muscle small cell lung cancer metastasis computed tomography magnetic resonance imaging |
| title | Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report |
| title_full | Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report |
| title_fullStr | Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report |
| title_full_unstemmed | Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report |
| title_short | Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report |
| title_sort | solitary orbital metastasis presenting as extraocular muscle mass in lung cancer patient a case report |
| topic | extraocular muscle small cell lung cancer metastasis computed tomography magnetic resonance imaging |
| url | https://doi.org/10.3348/jksr.2017.77.3.143 |
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