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Surgery for orbital metastasis from breast carcinoma initially presenting with progressive proptosis
  1. Mairre James Sumang Gaddi1,
  2. Ann Camille Quito Yuga2,
  3. Rodney Banaria Dofitas2 and
  4. Gerardo Dizon Legaspi1
  1. 1Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, Philippines
  2. 2Division of Surgical Oncology, Head and Neck, Breast, Skin and Soft Tissue and Esophago-Gastric Surgery, Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, Philippines
  1. Correspondence to Dr Mairre James Sumang Gaddi; msgaddi1{at}


We present a 45-year-old woman with metastatic breast disease who initially presented with progressive proptosis of her right eye causing limited motility, diplopia and eye pain. MRI done showed an avidly enhancing right sphenoorbital mass causing displacement in the lateral and superior recti muscles with lysis and infiltration of the greater sphenoid wing and lateral orbital wall. The patient underwent surgery resulting in immediate relief of proptosis and resolution of symptoms. Although surgery is not recommended for orbital metastasis as it is not curative, it should be considered as a treatment option as it can provide relief to patients and improve their quality of life.

  • palliative procedures
  • neurosurgery
  • oncology
  • cancer intervention
  • breast surgery

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  • Contributors MJSG and ACQY conceptualised the study, collated and analysed the data and finalised the paper. RBD and GDL supervised the study and edited and proofread the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.