Métastase orbitaire d'un cancer du sein révélée par un syndrome de l'apex orbitaire : à propos d'un cas

Orbital metastasis are rare despite the fact that the three most common primary tumors responsible for them are frequent in the population (breast, lung and prostate cancer). We report a case of unilateral orbital metastasis from breast cancer presenting as orbital apex syndrome and revealing widespread metastatic disease. A transnasal biopsy of the spread of the lesion to the sphenoid confirmed the diagnosis. The multidisciplinary management of the patient consisted of palliative systemic hormone therapy (because of the immuno-histochemical overexpression of hormone receptors) and orbital radiotherapy.