Spermatic cord leiomyosarcoma metastatic to the orbit

• Published in: American journal of ophthalmology Vol. 136; no. 1; pp. 213 - 215
• Main Authors: Bakri, Sophie J., Krohel, Gregory B., Peters, George B., Farber, Martha G.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2003; Elsevier; Elsevier Limited
• Subjects: Aged; Biological and medical sciences; Chronic obstructive pulmonary disease, asthma; Genital Neoplasms, Male - diagnostic imaging; Genital Neoplasms, Male - pathology; Genital Neoplasms, Male - surgery; Humans; Leiomyosarcoma - diagnostic imaging; Leiomyosarcoma - secondary; Leiomyosarcoma - surgery; Liver Neoplasms - diagnostic imaging; Liver Neoplasms - secondary; Lung Neoplasms - diagnostic imaging; Lung Neoplasms - secondary; Male; Medical sciences; Orbital Neoplasms - diagnostic imaging; Orbital Neoplasms - secondary; Orbital Neoplasms - surgery; Pneumology; Spermatic Cord; Tomography, X-Ray Computed; Human; Case study; Spermatic cord diseases; Leiomyosarcoma; Orbit(eye) disease; Advanced stage; Spermatic cord; Metastatic; Malignant tumor; Metastasis; Orbit(eye); Elderly
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(02)02279-1

To report a case of spermatic cord leiomyosarcoma metastatic to the orbit. Case report. A 78-year-old man presented with progressive redness, proptosis, and decreasing vision of the left eye of 3 weeks’ duration. Computed tomography revealed an intraconal mass (1.5 × 2 cm) inferior to and displacing the left optic nerve. A left lateral orbitotomy was performed, and awell-demarcated mass was removed from the surrounding tissue. A follow-up computed tomography of the chest and abdomen was consistent with metastatic disease to the lungs and liver. Spermatic cord leiomyosarcoma is a rare cause of metastatic lesions to the orbit.