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Unilateral localized extraocular muscle metastasis by lobular breast carcinoma
  1. Gianfilippo Nifosí1,
  2. Mariateresa Zuccarello2
  1. 1Hemato-Oncology, Departement of Internal Medicine, UVC Brugmann, Brussels, Belgium
  2. 2Departement of Internal Medicine, Medical school of University, Catania, Italy
  1. Correspondence to Dr Gianfilippo Nifosí, g.nifosi{at}


Here is a case of an isolated orbital metastasis in a previously diagnosed metastatic breast cancer of a 46-year-old woman presenting diplopia and pain in her left eye. The magnetic resonance showed a suspected metastatic localisation in the upper left oblique muscle, which was confirmed by the fine-needle aspiration biopsy. The systemic therapy with liposomal doxorubicin as well as local stereotactic radiotherapy showed a gradual improvement of the local symptoms and signs.

  • breast cancer
  • radiotherapy
  • pain (palliative care)

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  • Contributors Both authors substantially contributed to the conception and design, acquisition of data, analysis and interpretation of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published.

  • 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 Obtained.

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

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