Metastatic breast carcinoma for optic nerve

Case report

Abstract

Introduction: Ocular metastases are underreported and, in addition, some presentations are less frequent and should be screened in an interdisciplinary way. Case report: This is a 59-year-old white woman, with a history of unilateral breast cancer, whose symptoms and ophthalmologic signs were manifestations that led to the diagnosis of recurrence of the disease due to ocular metastasis. Comments: Due to the possible asymptomatic presentation, location of the lesion and absence of a screening protocol for ocular metastases in oncological diseases, many cases of intraocular metastatic tumors are not diagnosed. After a period considered free of the disease, the patient complaints served as a stimulus for ophthalmologic evaluation. Although, many advanced intraocular tumors may be asymptomatic, this contributes to increased ocular morbidity. Ocular rare sites of metastasis may be predictor of disease severity, where, in the study, the optic nerve involvement can be observed, a rare focus of dissemination in breast cancer.