Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer
A 75-year-old woman had gradually progressive binocular diplopia and 2 months later had breast cancer diagnosed. Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of...
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| Veröffentlicht in: | Journal of neuro-ophthalmology 2005-03, Vol.25 (1), p.37-39 |
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| creator | Spitzer, Stephen G Bersani, Thomas A Mejico, Luis J |
| description | A 75-year-old woman had gradually progressive binocular diplopia and 2 months later had breast cancer diagnosed. Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of all extraocular muscles bilaterally. A right orbital biopsy was consistent with metastatic breast carcinoma. Positron emission tomography, bone scan, and computed tomography of the chest, abdomen, and pelvis failed to disclose other evidence of breast cancer metastases. It is unusual to encounter metastatic breast cancer affecting every extraocular muscle before the diagnosis of the primary carcinoma. |
| doi_str_mv | 10.1097/00041327-200503000-00010 |
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Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of all extraocular muscles bilaterally. A right orbital biopsy was consistent with metastatic breast carcinoma. Positron emission tomography, bone scan, and computed tomography of the chest, abdomen, and pelvis failed to disclose other evidence of breast cancer metastases. It is unusual to encounter metastatic breast cancer affecting every extraocular muscle before the diagnosis of the primary carcinoma.</description><identifier>ISSN: 1070-8022</identifier><identifier>EISSN: 1536-5166</identifier><identifier>DOI: 10.1097/00041327-200503000-00010</identifier><identifier>PMID: 15756132</identifier><identifier>CODEN: JNEOEK</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Aged ; Biological and medical sciences ; Biopsy ; Breast Neoplasms - pathology ; Carcinoma - complications ; Carcinoma - diagnosis ; Carcinoma - secondary ; Diplopia - etiology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Magnetic Resonance Imaging ; Mammary gland diseases ; Medical sciences ; Muscle Neoplasms - complications ; Muscle Neoplasms - diagnosis ; Muscle Neoplasms - secondary ; Neoplasm Invasiveness ; Oculomotor Muscles - pathology ; Tumors</subject><ispartof>Journal of neuro-ophthalmology, 2005-03, Vol.25 (1), p.37-39</ispartof><rights>2005 Lippincott Williams & Wilkins, Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4380-b1c7e6f56c24b5ce8d49dc2c7c2e09fd67f969eb49098d1c93436ed2f06780bf3</citedby><cites>FETCH-LOGICAL-c4380-b1c7e6f56c24b5ce8d49dc2c7c2e09fd67f969eb49098d1c93436ed2f06780bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf><![CDATA[$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&PDF=y&D=ovft&AN=00041327-200503000-00010$$EPDF$$P50$$Gwolterskluwer$$H]]></linktopdf><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00041327-200503000-00010$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,780,784,4609,27924,27925,64666,65461</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16623832$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15756132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spitzer, Stephen G</creatorcontrib><creatorcontrib>Bersani, Thomas A</creatorcontrib><creatorcontrib>Mejico, Luis J</creatorcontrib><title>Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer</title><title>Journal of neuro-ophthalmology</title><addtitle>J Neuroophthalmol</addtitle><description>A 75-year-old woman had gradually progressive binocular diplopia and 2 months later had breast cancer diagnosed. Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of all extraocular muscles bilaterally. A right orbital biopsy was consistent with metastatic breast carcinoma. Positron emission tomography, bone scan, and computed tomography of the chest, abdomen, and pelvis failed to disclose other evidence of breast cancer metastases. It is unusual to encounter metastatic breast cancer affecting every extraocular muscle before the diagnosis of the primary carcinoma.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma - complications</subject><subject>Carcinoma - diagnosis</subject><subject>Carcinoma - secondary</subject><subject>Diplopia - etiology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Muscle Neoplasms - complications</subject><subject>Muscle Neoplasms - diagnosis</subject><subject>Muscle Neoplasms - secondary</subject><subject>Neoplasm Invasiveness</subject><subject>Oculomotor Muscles - pathology</subject><subject>Tumors</subject><issn>1070-8022</issn><issn>1536-5166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFPHCEUgEmjqbrtX2i41NvoA2ZgONaNrSZuvOhVwjCPLJWdWWEmtv--6K71ZALhkfe9B3wQQhmcMdDqHABqJriqOEADomyrMhl8IsesEbJqmJQHJQYFVQucH5GTnH8XRADXn8kRa1QjS4Nj8rCa4xS2EelFiHbCZCO9_DMlO7o52kRXc3YlucLJ5jIwU5vptEZ6PYQpFHhlh-Cx5KYwDnT09CJhQenSDg7TF3Lobcz4db8uyP3Py7vlVXVz--t6-eOmcrVooeqYUyh9Ix2vu8Zh29e6d9wpxxG076XyWmrsag267ZnTohYSe-5BqhY6LxbkdNd3m8anuVzHbEJ2GKMdcJyzkarWUpX3L0i7A10ac07ozTaFjU1_DQPz4ta8uTX_3ZpXt6X02_6Mudtg_164l1mA73vAZmejT0VByO-clFy0r1y9457HWIznxzg_YzJrtHFam4_-VvwDVJWRKQ</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Spitzer, Stephen G</creator><creator>Bersani, Thomas A</creator><creator>Mejico, Luis J</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer</title><author>Spitzer, Stephen G ; Bersani, Thomas A ; Mejico, Luis J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4380-b1c7e6f56c24b5ce8d49dc2c7c2e09fd67f969eb49098d1c93436ed2f06780bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Breast Neoplasms - pathology</topic><topic>Carcinoma - complications</topic><topic>Carcinoma - diagnosis</topic><topic>Carcinoma - secondary</topic><topic>Diplopia - etiology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Muscle Neoplasms - complications</topic><topic>Muscle Neoplasms - diagnosis</topic><topic>Muscle Neoplasms - secondary</topic><topic>Neoplasm Invasiveness</topic><topic>Oculomotor Muscles - pathology</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spitzer, Stephen G</creatorcontrib><creatorcontrib>Bersani, Thomas A</creatorcontrib><creatorcontrib>Mejico, Luis J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuro-ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spitzer, Stephen G</au><au>Bersani, Thomas A</au><au>Mejico, Luis J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer</atitle><jtitle>Journal of neuro-ophthalmology</jtitle><addtitle>J Neuroophthalmol</addtitle><date>2005-03</date><risdate>2005</risdate><volume>25</volume><issue>1</issue><spage>37</spage><epage>39</epage><pages>37-39</pages><issn>1070-8022</issn><eissn>1536-5166</eissn><coden>JNEOEK</coden><abstract>A 75-year-old woman had gradually progressive binocular diplopia and 2 months later had breast cancer diagnosed. Examination showed bilateral external ophthalmoplegia with lid retraction and lag and no pupillary abnormalities. Orbital magnetic resonance imaging showed enlargement and enhancement of all extraocular muscles bilaterally. A right orbital biopsy was consistent with metastatic breast carcinoma. Positron emission tomography, bone scan, and computed tomography of the chest, abdomen, and pelvis failed to disclose other evidence of breast cancer metastases. It is unusual to encounter metastatic breast cancer affecting every extraocular muscle before the diagnosis of the primary carcinoma.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>15756132</pmid><doi>10.1097/00041327-200503000-00010</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neuro-ophthalmology, 2005-03, Vol.25 (1), p.37-39 |
| issn | 1070-8022 1536-5166 |
| language | eng |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Biological and medical sciences Biopsy Breast Neoplasms - pathology Carcinoma - complications Carcinoma - diagnosis Carcinoma - secondary Diplopia - etiology Female Gynecology. Andrology. Obstetrics Humans Magnetic Resonance Imaging Mammary gland diseases Medical sciences Muscle Neoplasms - complications Muscle Neoplasms - diagnosis Muscle Neoplasms - secondary Neoplasm Invasiveness Oculomotor Muscles - pathology Tumors |
| title | Multiple Bilateral Extraocular Muscle Metastases as the Initial Manifestation of Breast Cancer |
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