Metastatic breast cancer presenting as Tolosa-Hunt syndrome.
Choroidal involvement is a well-recognized manifestation of metastatic disease, particularly from breast and lung primaries. However, breast cancer can involve other ocular structures. The two patients presented illustrate diffuse orbital involvement of the extraocular muscles, simulating Tolosa-Hunt syndrome. This association has not been reported previously. Both patients responded well to local radiotherapy.
Harnett
A N
AN
Beatson Oncology Centre, Western Infirmary, Glasgow, UK.
Kemp
E G
EG
Fraser
G
G
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy; D018275:Carcinoma, Lobular / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D009918:Orbital Neoplasms / Q000556:secondary; D010166:Palliative Care; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000532:radiotherapy