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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Kensaku Makino, MD, Satoshi Tsutsumi, MD, Yuki Takaki, MD, Senshu Nonaka, MD, Hidehiro Okura, MD, Hisato Ishii, MD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://doaj.org/article/05220e376b5d487bae9be67404a9ac4a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:05220e376b5d487bae9be67404a9ac4a
record_format dspace
spelling oai:doaj.org-article:05220e376b5d487bae9be67404a9ac4a2021-11-30T04:14:52ZLate orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine1930-043310.1016/j.radcr.2021.09.057https://doaj.org/article/05220e376b5d487bae9be67404a9ac4a2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007032https://doaj.org/toc/1930-0433A 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.Kensaku Makino, MDSatoshi Tsutsumi, MDYuki Takaki, MDSenshu Nonaka, MDHidehiro Okura, MDHisato Ishii, MDElsevierarticleBreast cancerColon cancerLate metastasisOrbital tumorMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 5-12 (2022)
institution DOAJ
collection DOAJ
language EN
topic Breast cancer
Colon cancer
Late metastasis
Orbital tumor
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Breast cancer
Colon cancer
Late metastasis
Orbital tumor
Medical physics. Medical radiology. Nuclear medicine
R895-920
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
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.
format article
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
title 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_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_sort late orbital metastasis from colon cancer complicated by multiple tumors in the breast, lung, liver, and spine
publisher Elsevier
publishDate 2022
url https://doaj.org/article/05220e376b5d487bae9be67404a9ac4a
work_keys_str_mv AT kensakumakinomd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
AT satoshitsutsumimd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
AT yukitakakimd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
AT senshunonakamd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
AT hidehirookuramd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
AT hisatoishiimd lateorbitalmetastasisfromcoloncancercomplicatedbymultipletumorsinthebreastlungliverandspine
_version_ 1718406783743033344