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Arquivos Brasileiros de Oftalmologia

Print version ISSN 0004-2749On-line version ISSN 1678-2925


KIKUTA, Henrique Shiguekiyo et al. Metastatic undifferentiated malignant tumor: report of a case. Arq. Bras. Oftalmol. [online]. 2001, vol.64, n.4, pp.351-354. ISSN 1678-2925.

Purpose: To demonstrate the importance of clinical history and general physical examination in orbital affections as guides for correction of and early diagnosis allowing adequate treatment. Methods: Clinical history, ophthalmologic and general physical examination and complementary examinations: Chest X-ray, pelvic and abdominal ultrasonography, orbital computerized tomography; fine needle aspiration biopsy of tumor, orbitary procedures, excisional biopsy of sternal nodule and retrospective cytologic, histologic and imunohistochenical examinations. Results: Pelvic ultrasonography demonstrated the presence of a large tumor in anexus, probably the primary focus. In the chest X-ray there is evidence of metastatic mass. The histopathological findings of both retrobulbar mass and sternal nodule were compatible with undifferentiated malignant neoplasm. Conclusions: This paper reports the importance of clinical history and general physical examination in the orbital affections guiding the physician to correct diagnosis and apply adequate treatment in a case in which the patient presenting multiple metastases, the ophthalmologic signs were the ones that led him to medical visit.

Keywords : Ovarian neoplasms [secondary]; Lung neoplasms [secondary]; Orbital neoplasms [pathology]; Carcinoma [pathology]; Unknown primary neoplasms; Needle biopsy; X-ray computed tomography; Biological tumor markers; Case report.

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