AI Article Synopsis

  • A 70-something woman experienced reduced vision in her left eye, eye opening narrowing, and loss of smell over six months, leading to a detailed examination.
  • Medical exams revealed significant eye issues such as enophthalmos (sunken eye) and limited eye movement, with imaging showing a mass affecting her sinuses and orbits.
  • A biopsy confirmed an infiltrative ductal breast carcinoma, prompting her to receive palliative treatment which resulted in good disease control for one year, highlighting the need for thorough evaluations in cases of sino-orbital masses.

Article Abstract

A woman in her 70s presented with reduced vision in her left eye, progressive narrowing of right eye opening for 6 months and anosmia. On examination, she had right enophthalmos and pseudoptosis with inferior globe dystopia. Her visual acuity was 6/9 and nil light perception in the right and left eyes, respectively. Extraocular muscle examination showed limited right up gaze. Funduscopy showed a normal right optic disc and left optic disc atrophy. Systemic examination revealed left breast ulceration with skin tethering. CT revealed an infiltrative mass invading the ethmoidal sinuses, frontal sinuses and both orbits. A histological diagnosis of infiltrative ductal breast carcinoma was made after nasal endoscopic and left breast biopsy. She underwent palliative chemoradiotherapy and survived with good disease control after 1 year. Metastatic carcinoma is a differential diagnosis of a sino-orbital mass, and comprehensive clinical assessment is indicated for all patients presenting with non-acute eye injury.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660501PMC
http://dx.doi.org/10.1136/bcr-2022-250108DOI Listing

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