Prostatic Carcinoma Metastatic to the Orbit Presenting Primarily as Proptosis

Abstract

Prostatic carcinoma is the second most common source of metastatic orbital tumour after bronchogenic carcinoma in men. When it is metastatic to the orbit, it can present as an orbital mass lesion with proptosis which is either axial or non-axial; inflammatory orbital lesion; or orbital infiltration associated with functional loss. In the vast majority of cases, the patient presents primarily to the urologist with urinary problems. In this report, however, we present a case of prostatic adenocarcinoma metastatic to the left orbit which presented primarily as proptosis, to the ophthalmologists. The peculiarities of the case, differential diagnoses, management and implications of this finding, are discussed.


[Jnl of College of Medicine Vol.7(1) 2002: 3-4]