[Proptosis as the first sign of recurrent scirrhous breast carcinoma].
OBJECTIVE
To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome.


METHODS
The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse.


CONCLUSIONS
When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases.
Rodríguez-Marco
N A
NA
Servicio de Oftalmología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain. Nelson5000@hotmail.com
Domínguez-Polo
A M
AM
Cristóbal-Bescós
J A
JA
Sierra-Barreras
J
J
Castillo-Laguarta
J
J
D002293:Adenocarcinoma, Scirrhous / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D014057:Tomography, X-Ray Computed
D000970:Antineoplastic Agents