Metastatic colon cancer to the sphenoid wing and ethmoid sinus mimicking orbital cellulitis: A rare presentation Journal Article


Authors: Scofield, S.; Oktavec, K.; Raciti, P.; Winn, B.
Article Title: Metastatic colon cancer to the sphenoid wing and ethmoid sinus mimicking orbital cellulitis: A rare presentation
Abstract: Metastatic lesions to the orbit are most commonly seen with breast, lung, and prostate cancer, but are less commonly seen with colon cancer. Furthermore, the presence of metastatic colon cancer involving the sphenoid wing has only been reported once previously. The authors present a case of a 68-year-old woman with right upper and lower eyelid edema and erythema along with decreased vision, relative afferent pupillary defect, limitation of extraocular movements, and chemosis suggestive of orbital cellulitis. Imaging revealed an erosive lesion of the sphenoid wing along with unilateral ethmoid sinusitis. Biopsies taken from both lesions revealed metastatic adenocarcinoma, consistent with colonic primary. The extensive inflammatory component of her disease required life-long high-dose steroids to maintain quiescence and preserve vision. © 2016 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.
Journal Title: Ophthalmic Plastic and Reconstructive Surgery
Volume: 33
Issue: 3 Suppl. 1
ISSN: 0740-9303
Publisher: Lippincott Williams & Wilkins  
Date Published: 2017-05-01
Start Page: S133
End Page: S136
Language: English
DOI: 10.1097/iop.0000000000000669
PROVIDER: scopus
PUBMED: 26974420
DOI/URL:
Notes: Article -- Export Date: 3 July 2017 -- Source: Scopus
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  1. Patricia Marie Raciti
    5 Raciti