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Bilateral orbital tumour as the presentation of mammographically occult breast cancer

  • Head and Neck Radiology
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Abstract

We report a rare case of bilateral orbital metastases as the presentation in a 63-year-old woman. Biopsy of a diffusely infiltrated medial rectus muscle suggested metastatic adenocarcinoma. Investigation revealed a palpable mass of the right breast not shown on mammography or sonography. Invasive lobular carcinoma was found at core-needle biopsy with histological features identical to those of the orbital lesion. Metastases to the extraocular muscles are uncommon, particularly as the initial abnormality in the absence of disseminated disease.

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Authors and Affiliations

  1. Institute of Radiology, University of Erlangen-Nürnberg, Maximiliansplatz 1, 91504, Erlangen, Germany

    M. Lell, R. Schulz-Wendtland & W. A. Bautz

  2. Department of Ophthalmology, University of Erlangen-Nürnberg, Maximiliansplatz 1, 91504, Erlangen, Germany

    A. Hafner

  3. Institute of Pathology, University of Erlangen-Nürnberg, Maximiliansplatz 1, 91504, Erlangen, Germany

    A. Magener

  4. Department of Neuroradiology, University of Erlangen-Nürnberg, Maximiliansplatz 1, 91504, Erlangen, Germany

    B. F. Tomandl

Authors
  1. M. Lell
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  2. R. Schulz-Wendtland
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  3. A. Hafner
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  4. A. Magener
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  5. W. A. Bautz
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  6. B. F. Tomandl
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Correspondence to M. Lell.

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Lell, M., Schulz-Wendtland, R., Hafner, A. et al. Bilateral orbital tumour as the presentation of mammographically occult breast cancer. Neuroradiology 46, 682–685 (2004). https://doi.org/10.1007/s00234-003-1106-x

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  • DOI: https://doi.org/10.1007/s00234-003-1106-x

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