Anterior uveal and episcleral metastases from carcinoma of the breast

Breast carcinoma is the most common primary tumor producing intraocular metastasis. Metastases to the iris and ciliary body are relatively rare. The authors report a case of a 61-year-old lady, operated for carcinoma of the left breast 3 years back, who presented with symptoms and signs of acute nar...

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Main Authors: Reddy, S.C., Madhavan, M., Mutum, S.S.
Format: Article
Language:English
Published: S. Karger 2000
Online Access:http://psasir.upm.edu.my/id/eprint/116524/
http://psasir.upm.edu.my/id/eprint/116524/1/116524.pdf
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author Reddy, S.C.
Madhavan, M.
Mutum, S.S.
author_facet Reddy, S.C.
Madhavan, M.
Mutum, S.S.
author_sort Reddy, S.C.
building UPM Institutional Repository
collection Online Access
description Breast carcinoma is the most common primary tumor producing intraocular metastasis. Metastases to the iris and ciliary body are relatively rare. The authors report a case of a 61-year-old lady, operated for carcinoma of the left breast 3 years back, who presented with symptoms and signs of acute narrow-angle glaucoma in the right eye. A diffuse whitish plaque-like mass in the upper nasal quadrant of the iris with an episcleral nodule on the limbus in the corresponding area and all the signs of acute narrow-angle glaucoma were present in the right eye. Intraocular pressure was controlled medically. Fine-needle aspiration cytology from the episcleral nodule showed malignant cells. Histopathology of the excised nodule showed metastatic poorly differentiated carcinoma, and the cellular pattern was similar to the carcinoma of the breast. There was no other metastasis anywhere in the body. Fine-needle aspiration cytology from an external lesion of the eye is a less invasive and easier procedure than paracentesis to diagnose the metastatic nature of the lesions. The rare features in our case are the clinical presentation as acute glaucoma and the ocular structures being the first and only site of metastasis. Copyright (C) 2000 S. Karger AG, Basel.
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spelling upm-1165242025-04-10T01:40:14Z http://psasir.upm.edu.my/id/eprint/116524/ Anterior uveal and episcleral metastases from carcinoma of the breast Reddy, S.C. Madhavan, M. Mutum, S.S. Breast carcinoma is the most common primary tumor producing intraocular metastasis. Metastases to the iris and ciliary body are relatively rare. The authors report a case of a 61-year-old lady, operated for carcinoma of the left breast 3 years back, who presented with symptoms and signs of acute narrow-angle glaucoma in the right eye. A diffuse whitish plaque-like mass in the upper nasal quadrant of the iris with an episcleral nodule on the limbus in the corresponding area and all the signs of acute narrow-angle glaucoma were present in the right eye. Intraocular pressure was controlled medically. Fine-needle aspiration cytology from the episcleral nodule showed malignant cells. Histopathology of the excised nodule showed metastatic poorly differentiated carcinoma, and the cellular pattern was similar to the carcinoma of the breast. There was no other metastasis anywhere in the body. Fine-needle aspiration cytology from an external lesion of the eye is a less invasive and easier procedure than paracentesis to diagnose the metastatic nature of the lesions. The rare features in our case are the clinical presentation as acute glaucoma and the ocular structures being the first and only site of metastasis. Copyright (C) 2000 S. Karger AG, Basel. S. Karger 2000 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/116524/1/116524.pdf Reddy, S.C. and Madhavan, M. and Mutum, S.S. (2000) Anterior uveal and episcleral metastases from carcinoma of the breast. Ophthalmologica, 214 (5). pp. 368-372. ISSN 0030-3755; eISSN: 0030-3755 https://karger.com/OPH/article/doi/10.1159/000027523 10.1159/000027523
spellingShingle Reddy, S.C.
Madhavan, M.
Mutum, S.S.
Anterior uveal and episcleral metastases from carcinoma of the breast
title Anterior uveal and episcleral metastases from carcinoma of the breast
title_full Anterior uveal and episcleral metastases from carcinoma of the breast
title_fullStr Anterior uveal and episcleral metastases from carcinoma of the breast
title_full_unstemmed Anterior uveal and episcleral metastases from carcinoma of the breast
title_short Anterior uveal and episcleral metastases from carcinoma of the breast
title_sort anterior uveal and episcleral metastases from carcinoma of the breast
url http://psasir.upm.edu.my/id/eprint/116524/
http://psasir.upm.edu.my/id/eprint/116524/
http://psasir.upm.edu.my/id/eprint/116524/
http://psasir.upm.edu.my/id/eprint/116524/1/116524.pdf