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Orbital Metastasis as a Presenting Feature of Papillary Thyroid Carcinoma: Case Report and Literature Review

Authors

  • Armida L. Suller-Pansacola, MD Department of Ophthalmology, University of Santo Tomas Hospital, Manila, Philippines; Department of Ophthalmology and Visual Sciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines; Manila Doctors Hospital, Manila, Philippines https://orcid.org/0000-0001-9075-1884 (##common.opensInNewWindow##)
  • Bea Therese D. Basco, MD Department of Ophthalmology, University of Santo Tomas Hospital, Manila, Philippines https://orcid.org/0009-0006-6082-9891 (##common.opensInNewWindow##)
  • Edwin Michael Joy B. Pacia, MD Section of Neurosurgery, Department of Surgery, University of Santo Tomas Hospital, Manila, Philippines
  • Christine Joyce Minas-Santicruz, MD Department of Surgery, University of Santo Tomas Hospital, Manila, Philippines
  • Rolando A. Lopez, MD Department of Anatomic Pathology, University of Santo Tomas Hospital, Manila, Philippines
  • Francis Paulo D. Dizon, MD Department of Anatomic and Clinical Pathology, University of Santo Tomas Hospital, Manila, Philippines
  • Alessa Battistini-Castillo, MD Department of Radiology, The Medical City, Pasig City, Philippines

DOI:

https://doi.org/10.47895/amp.vi0.11989

Keywords:

orbital metastasis thyroid cancer thyroid carcinoma papillary thyroid carcinoma

Abstract

A 61-year-old woman presented with a 2-month history of non-painful left eye proptosis. Imaging studies showed a superotemporal mass in the left orbit with intracranial extension. Surgical excision of the orbitocranial mass was performed and histopathologic examination revealed metastatic papillary thyroid carcinoma. She subsequently underwent total thyroidectomy. Orbital metastasis from thyroid carcinoma is rare and can be the initial manifestation of occult disease in 63% of cases.

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