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...
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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) |
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Breast cancer Colon cancer Late metastasis Orbital tumor Medical physics. Medical radiology. Nuclear medicine R895-920 |
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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 |
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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 |
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