Diplopia as the First Sign of Gastric Carcinoma

Orbital metastasis may be the initial manifestation of a malignancy of unknown origin. The primary locations of orbital metastasis are usually the lung, prostate, gastrointestinal tract, skin, kidney, eye, or thyroid gland. Metastasis of gastric carcinoma to an extraocular eye muscle is extremely ra...

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Autores principales:	Suzanna L. Roohé, Ivan M. Gan, Kim van der Weerd, Boaz Lopuhaä, Robert M. Verdijk, Dion Paridaens
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	diplopia gastric carcinoma orbital metastases extraocular muscle Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c147a58266f34ff3abc99bda74ecfd09
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spelling	oai:doaj.org-article:c147a58266f34ff3abc99bda74ecfd092021-11-25T07:47:20ZDiplopia as the First Sign of Gastric Carcinoma1663-269910.1159/000519953https://doaj.org/article/c147a58266f34ff3abc99bda74ecfd092021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519953https://doaj.org/toc/1663-2699Orbital metastasis may be the initial manifestation of a malignancy of unknown origin. The primary locations of orbital metastasis are usually the lung, prostate, gastrointestinal tract, skin, kidney, eye, or thyroid gland. Metastasis of gastric carcinoma to an extraocular eye muscle is extremely rare. A solitary thickening in an extraocular eye muscle with no inflammatory features is suspect for a tumor. Symptoms such as diplopia, proptosis, ptosis, vision loss, or pain may be associated with an orbital malignancy. Our patient, a 67-year-old man known with radically resected prostate cancer, presented with complaints of vertigo with a tendency to fall, headache, and diplopia when looking to the right. As a coincidental finding, swelling of the rectus lateralis muscle of the left eye was observed on imaging. Extensive additional investigations showed that a gastric carcinoma with intraorbital and leptomeningeal metastasis was the cause. In conclusion, a solitary thickened extraocular eye muscle should be recognized in time and examined further.Suzanna L. RoohéIvan M. GanKim van der WeerdBoaz LopuhaäRobert M. VerdijkDion ParidaensKarger Publishersarticlediplopiagastric carcinomaorbital metastasesextraocular muscleOphthalmologyRE1-994ENCase Reports in Ophthalmology, Vol 12, Iss 3, Pp 870-874 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diplopia gastric carcinoma orbital metastases extraocular muscle Ophthalmology RE1-994
spellingShingle	diplopia gastric carcinoma orbital metastases extraocular muscle Ophthalmology RE1-994 Suzanna L. Roohé Ivan M. Gan Kim van der Weerd Boaz Lopuhaä Robert M. Verdijk Dion Paridaens Diplopia as the First Sign of Gastric Carcinoma
description	Orbital metastasis may be the initial manifestation of a malignancy of unknown origin. The primary locations of orbital metastasis are usually the lung, prostate, gastrointestinal tract, skin, kidney, eye, or thyroid gland. Metastasis of gastric carcinoma to an extraocular eye muscle is extremely rare. A solitary thickening in an extraocular eye muscle with no inflammatory features is suspect for a tumor. Symptoms such as diplopia, proptosis, ptosis, vision loss, or pain may be associated with an orbital malignancy. Our patient, a 67-year-old man known with radically resected prostate cancer, presented with complaints of vertigo with a tendency to fall, headache, and diplopia when looking to the right. As a coincidental finding, swelling of the rectus lateralis muscle of the left eye was observed on imaging. Extensive additional investigations showed that a gastric carcinoma with intraorbital and leptomeningeal metastasis was the cause. In conclusion, a solitary thickened extraocular eye muscle should be recognized in time and examined further.
format	article
author	Suzanna L. Roohé Ivan M. Gan Kim van der Weerd Boaz Lopuhaä Robert M. Verdijk Dion Paridaens
author_facet	Suzanna L. Roohé Ivan M. Gan Kim van der Weerd Boaz Lopuhaä Robert M. Verdijk Dion Paridaens
author_sort	Suzanna L. Roohé
title	Diplopia as the First Sign of Gastric Carcinoma
title_short	Diplopia as the First Sign of Gastric Carcinoma
title_full	Diplopia as the First Sign of Gastric Carcinoma
title_fullStr	Diplopia as the First Sign of Gastric Carcinoma
title_full_unstemmed	Diplopia as the First Sign of Gastric Carcinoma
title_sort	diplopia as the first sign of gastric carcinoma
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/c147a58266f34ff3abc99bda74ecfd09
work_keys_str_mv	AT suzannalroohe diplopiaasthefirstsignofgastriccarcinoma AT ivanmgan diplopiaasthefirstsignofgastriccarcinoma AT kimvanderweerd diplopiaasthefirstsignofgastriccarcinoma AT boazlopuhaa diplopiaasthefirstsignofgastriccarcinoma AT robertmverdijk diplopiaasthefirstsignofgastriccarcinoma AT dionparidaens diplopiaasthefirstsignofgastriccarcinoma
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Diplopia as the First Sign of Gastric Carcinoma

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