Breast Cancer Metastasis Presenting as Conjunctival Chemosis.

Case Rep Ophthalmol

Department of Ophthalmology, University Hospital, Vrije Universiteit Brussel, Brussels, Belgium.

Published: March 2016

AI Article Synopsis

  • A 72-year-old woman experienced a painful right eye, with symptoms including redness and swelling in the conjunctiva.
  • During a slit lamp exam, she was initially treated with artificial tears, but after a month a firm mass appeared near her lacrimal gland.
  • Imaging revealed infiltrative structures in both orbits, and biopsies confirmed that the conjunctival swelling and lacrimal gland contained metastases from lobular breast carcinoma.

Article Abstract

A 72-year-old woman presented with a painful right eye. A few weeks before, she had noticed a red, swollen area in the conjunctiva of the same eye. On slit lamp examination, it appeared as chemosis and vascular injection; artificial tears were prescribed. A month later, a firm mass developed on the superotemporal orbital rim, in the area of the lacrimal gland. A CT scan revealed infiltrative structures in both the left and right orbit, with contrast staining in the right lacrimal gland and near the left optic nerve. A biopsy was taken of the conjunctival swelling as well as of the lacrimal gland. Both tissues showed infiltration with lobular breast carcinoma metastases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777936PMC
http://dx.doi.org/10.1159/000442519DOI Listing

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