Orbital Tumor Secondary to Prostate Adenocarcioma
Keywords:
prostate adenocarcinoma; exophthalmos; orbital tumor; orbital surgeryAbstract
Introduction: Orbital metastases account for approximately 6 % of all orbital tumors in adults, with breast and lung cancers being the most common primary sites. Prostate adenocarcinoma, despite its high incidence, rarely metastasizes to the orbit, constituting an unusual clinical presentation usually associated with disseminated disease and poor prognosis.
Objective: To report an atypical case of solitary symptomatic orbital metastasis from prostate adenocarcinoma.
Case report: the case of a 61-year-old male patient with recently diagnosed stage IV prostate adenocarcinoma presented with diplopia and swelling of the left eye. Computed tomography (CT) revealed an enhancing retroocular mass measuring 39 x 15 mm complete excision of the lesion was performed via a temporo-zygomatic approach, resulting in complete resolution of proptosis, chemosis, and diplopia, with recovery of 20/20 visual acuity.
This case illustrates that, although prostate orbital metastases are exceptional, they should be included in the differential diagnosis of orbital masses in adult males.
Conclusions: In selected cases of solitary, symptomatic metastases, surgery can provide effective local control and significant improvement in quality of life.
Keywords: prostate adenocarcinoma; exophthalmos; orbital tumor; orbital surgery.
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Copyright (c) 2026 Yasiel Bernardo Verde Nieblas, Daniel Ramos González, Rose Mary Favier Rodríguez

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