Orbital Tumor Secondary to Prostate Adenocarcioma

Authors

Keywords:

prostate adenocarcinoma; exophthalmos; orbital tumor; orbital surgery

Abstract

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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References

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Published

2026-09-30

How to Cite

1.
Verde Nieblas YB, Ramos González D, Favier Rodríguez RM. Orbital Tumor Secondary to Prostate Adenocarcioma. Rev Cubana Med [Internet]. 2026 Sep. 30 [cited 2026 Oct. 2];65. Available from: https://revmedicina.sld.cu/index.php/med/article/view/5199

Issue

Section

Case Reports