ISSN: 1300-0365
Dil: Türkçe
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Metastatic Tumors Of The Orbit
Hülya GÖKMEN SOYSAL*, Aycan ALBAYRAK*, Çiğdem IRKKAN**
* Dr., SB Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Uzmanı** Dr., SB Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, Şef Yardımcısı, ANKARA
Purpose: To present the clinical characteristics and the treatment results of the metastatic orbital tumors. Material and Method: The records of 14 patients who were followed with the diagnosis of metastatic orbital tumor were reviewed. In all cases, the site of primary tumor, clinical and radiological features and treatment results were evaluated retrospectively.Results: Breast carcinoma (6 cases, 42.9%) was the most frequent cause of metastatic orbital tumors. Ewing sarcoma, prostate, thyroid, lung and renal carcinomas, malignant mesenchymal tumor and malignant mixed tumor of the parotid gland were the other tumors that metastasized to the orbit. The most frequent symptoms and signs were ocular motility disturbances, proptosis and globe displacement. In 2 (14.3%) cases, the diagnosis of orbital metastasis preceded the sistemic diagnosis. Concurrent sistemic metastases were present in 10 (71.4%) patients. Six patients received radiotherapy, five patients received hormonal therapy and one patient underwent surgery. All patients were subjected to chemotherapy as a part of their treatment protocol. In four of six patients who received orbital radiotherapy, orbital signs and symptoms were disappeared completely. In other two patients, symptomatic relief was obtained.Conclusion: Metastatic orbital tumors may present with various clinical signs. Primary tumor of these patients may not be known at the time of admission. In patients with orbital metastasis that had generally multiple systemic metastases, it is possible to maintain symptomatic relief and to improve the quality of life, although the prognosis is quite poor.Keywords: Orbit, Metastasis, TumorTurkiye Klinikleri J Ophthalmol 2002, 11:73-80
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