Bilateral multiple extraocular muscle metastasis from breast carcinoma

Murthy, Ramesh; Gupta, Amit; Hegde, Sunayana; Honavar, Santosh G.
September 2011
Indian Journal of Ophthalmology;Sep2011, Vol. 59 Issue 5, p381
Academic Journal
Case Study
We report a rare presentation of an initially misdiagnosed case of a pseudotumor, which on histopathology was diagnosed as bilateral breast metastases of lobular carcinoma involving multiple extraocular muscles. A 61-year-old lady presented with external ophthalmoplegia and diplopia. Incisional biopsy was performed using a lid crease approach and the patient received radiotherapy and hormonal therapy. Following prolonged hormonal therapy, complete remission was achieved, with improvement in ocular motility and resolution of diplopia, about 18 months aft er the initial presentation. Multiple extraocular muscle involvement by breast carcinoma metastasis is very rare and should be considered in the diff erential diagnosis, especially in patients with a prior history of breast carcinoma.


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