Bilateral Invasive Orbital Metastases from a Poorly Differentiated Large Cell Neuroendocrine Carcinoma of the Esophagus
Artículo de revista
2018-10
Board. IJGHE
Interdisciplinary Journal of Gastroenterology, Hepatology and Endoscopy
2
2
2
5
2637-7624
We report a case of a 62-year-old man presenting with a right eye tumor and retinal
detachment. A magnetic resonance imaging (MRI) of the skull showed hyperintense bilateral
orbital masses exhibiting an intraocular component and an extraconal component in the right
eye measuring 21.8 x 23.2 mm. Immunohistochemistry studies and histopathology results
of our patient following right orbital exenteration confirmed a large cell neuroendocrine
carcinoma. A positron emission tomography-computed tomography (PET/CT) scan was
performed in an attempt to identify the primary origin detecting a metabolically active tumor
located in the distal esophagus and metastases to the bone, liver, pancreas, left kidney,
mesentery, abdominal, mediastinal and left axillary lymph nodes, choroid of the left eye
and lumbar soft tissues. An upper endoscopy revealed an esophageal infiltrating mass.
Immunohistochemical staining confirmed a poorly differentiated, large cell neuroendocrine
carcinoma.
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