Bilateral Multiple Orbital Metastases Successfully Treated with Standalone Stereotactic Radiosurgery: Clinical Image

Bilateral orbital metastases are extremely rare, and no previous literature has reported bilateral multiple orbital metastases treated with stereotactic radiosurgery (SRS). We present the impressive images of a patient with history of metastatic leiomyosarcoma with newly diagnosed bilateral multiple...

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Veröffentlicht in:World neurosurgery 2024-11, Vol.191, p.186-189
Hauptverfasser: Hori, Yusuke S., Park, David J., Chang, Steven D.
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container_title World neurosurgery
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Park, David J.
Chang, Steven D.
description Bilateral orbital metastases are extremely rare, and no previous literature has reported bilateral multiple orbital metastases treated with stereotactic radiosurgery (SRS). We present the impressive images of a patient with history of metastatic leiomyosarcoma with newly diagnosed bilateral multiple orbital metastases. The pre-SRS magnetic resonance imaging (MRI) showed 1 right and 2 left orbital metastatic lesions. The patient underwent SRS, and the post-SRS MRI at 2 months showed a decrease in size of the treated lesions. The positron emission tomography scan at 5 months after the treatment showed no avid F-fluorodeoxyglucose uptakes in the 3 orbital metastases. The presenting symptoms were all improved after the treatment with no adverse effects from the SRS. Our interesting images show the presence of multiple lesions in the orbital spaces with excellent treatment response post SRS. This is the first report of a patient who has bilateral and multiple orbital metastases that were successfully treated with standalone SRS.
doi_str_mv 10.1016/j.wneu.2024.08.075
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subjects CyberKnife radiosurgery
Female
Humans
Leiomyosarcoma - diagnostic imaging
Leiomyosarcoma - secondary
Leiomyosarcoma - surgery
Magnetic Resonance Imaging
Middle Aged
Orbital metastases
Orbital Neoplasms - diagnostic imaging
Orbital Neoplasms - radiotherapy
Orbital Neoplasms - secondary
Orbital Neoplasms - surgery
Radiosurgery - methods
Stereotactic radiosurgery
Treatment Outcome
title Bilateral Multiple Orbital Metastases Successfully Treated with Standalone Stereotactic Radiosurgery: Clinical Image
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