Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis
Introduction. 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 rhin...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2016/2913241 |
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| author | Mayara Tabai Igor Moreira Hazboun Emerson Taro Inoue Sakuma Marcelo Hamilton Sampaio Eulalia Sakano |
| author_facet | Mayara Tabai Igor Moreira Hazboun Emerson Taro Inoue Sakuma Marcelo Hamilton Sampaio Eulalia Sakano |
| author_sort | Mayara Tabai |
| collection | DOAJ |
| description | Introduction. 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. |
| format | Article |
| id | doaj-art-941aecef8ce642d1a249c3660c97d620 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-941aecef8ce642d1a249c3660c97d6202025-02-03T01:01:28ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/29132412913241Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal RhinosinusitisMayara Tabai0Igor Moreira Hazboun1Emerson Taro Inoue Sakuma2Marcelo Hamilton Sampaio3Eulalia Sakano4Department of Otolaryngology Head and Neck, Faculty of Medical Sciences, University of Campinas (UNICAMP), P.O. Box 6111, 13081-970 Campinas, SP, BrazilDepartment of Otolaryngology Head and Neck, Faculty of Medical Sciences, University of Campinas (UNICAMP), P.O. Box 6111, 13081-970 Campinas, SP, BrazilDepartment of Otolaryngology Head and Neck, Faculty of Medical Sciences, University of Campinas (UNICAMP), P.O. Box 6111, 13081-970 Campinas, SP, BrazilDepartment of Otolaryngology Head and Neck, Faculty of Medical Sciences, University of Campinas (UNICAMP), P.O. Box 6111, 13081-970 Campinas, SP, BrazilDepartment of Otolaryngology Head and Neck, Faculty of Medical Sciences, University of Campinas (UNICAMP), P.O. Box 6111, 13081-970 Campinas, SP, BrazilIntroduction. 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.http://dx.doi.org/10.1155/2016/2913241 |
| spellingShingle | Mayara Tabai Igor Moreira Hazboun Emerson Taro Inoue Sakuma Marcelo Hamilton Sampaio Eulalia Sakano Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis Case Reports in Otolaryngology |
| title | Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis |
| title_full | Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis |
| title_fullStr | Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis |
| title_full_unstemmed | Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis |
| title_short | Orbital Metastasis of Breast Cancer Mimicking Invasive Fungal Rhinosinusitis |
| title_sort | orbital metastasis of breast cancer mimicking invasive fungal rhinosinusitis |
| url | http://dx.doi.org/10.1155/2016/2913241 |
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