J Korean Ophthalmol Soc > Volume 53(12); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(12):1885-1888.
DOI: https://doi.org/10.3341/jkos.2012.53.12.1885    Published online December 15, 2012.
A Case of Diagnosed Renal Cell Carcinoma with Orbital Metastasis Presenting with Proptosis.
Jeong Han Choi, In Ki Park, Kyung Hoon Seo, Jae Ho Shin
1Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. pbloadsky@naver.com
2Department of Ophthalmology, Kyung Hee Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.
안구돌출을 주소로 진단된 신세포암의 눈물샘 전이 1예
최정한1⋅박인기2⋅서경훈2⋅신재호1
Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine1, Seoul, Korea
Department of Ophthalmology, Kyung Hee Medical Center, Kyung Hee University School of Medicine2, Seoul, Korea
Abstract
PURPOSE
To report a very rare case of lacrimal gland metastasis of renal cell carcinoma presenting with proptosis. CASE SUMMARY: A 68-year-old man visited our clinic with a 3-month history of proptosis in the right eye. Corrected visual acuity was 0.8 in the right eye and 0.9 in the left eye and 11 mm proptosis of the right eye was observed. There were no specific findings except cataracts in both eyes. Orbital computed tomography (CT) demonstrated a solid lacrimal gland mass which was 24 x 36 x 29 mm in size and showed irregular enhancement. The CT scan also showed bone destruction around the orbital lateral wall and infiltration to the lateral rectus muscle. A metastatic tumor was suspected, thus a chest CT and abdominal CT were performed. The CT scan showed a large exophytic hypervascular mass with heterogeneous enhancement. The mass size was confirmed by the abdominal CT and malignant tumors were suspected. Regarding the left renal mass, a urology surgeon performed nephrectomy and adrenalectomy and regarding the lacrimal gland mass we performed an incisional biopsy via lid crease incision. Both masses were diagnosed as renal cell carcinoma based on the pathophysiologic findings. CONCLUSIONS: Lacrimal gland metastasis of renal cell carcinoma is very rare and extensive systemic evaluation for metastatic malignancy should be performed. In the present study, the authors report of a primary tumor found by chest CT a review of the literature.
Key Words: Lacrimal gland metastasis;Renal cell carcinoma


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