Metastatic esophageal squamous cell carcinoma to the orbit and periorbit masquerading as periorbital abscess.
A 61-year-old man with no history of malignancy presented with a rapidly expanding left periorbital mass, first noticed one month prior to presentation. The mass was firm, and a pus-like discharge drained spontaneously from the center of the lesion. A biopsy was performed, and histopathology confirmed squamous cell carcinoma. Systemic evaluation revealed that the patient had a primary esophageal squamous cell carcinoma with multiple metastases. The prognosis of orbital metastasis is generally poor, and this patient expired after one month of conservative treatment.
Lee
Ja Young
JY
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
Lee
Hyun Joon
HJ
Jung
Moon Sun
MS
Kim
So Young
SY
D000038:Abscess / Q000175:diagnosis; D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000556:secondary*; D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000175:diagnosis; D009918:Orbital Neoplasms / Q000175:diagnosis* / Q000556:secondary*