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Laryngeal carcinoma metastasis to the orbit: case report

Published online by Cambridge University Press:  27 January 2011

T Galm ,
A Kulkarni  and
I Ahmad
T Galm*
Affiliation:
Department of ENT, Heartlands Hospital, Birmingham, UK
A Kulkarni
Affiliation:
Department of Ophthalmology, Heartlands Hospital, Birmingham, UK
I Ahmad
Affiliation:
Department of ENT, Heartlands Hospital, Birmingham, UK
*
Address for correspondence: Ms T Galm, Heartlands Hospital, Bordesley Green, Birmingham B9 5ST, UK E-mail: tiragalm@yahoo.com
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Abstract

Objective:

We present the first report in the all English literature of a case of laryngeal squamous cell carcinoma metastasis to the orbit.

Method:

Case report of orbital metastasis from laryngeal carcinoma; clinical, radiological and pathological findings are discussed.

Result:

A 75-year-old man presented to the ENT department with a five-week history of left orbital pain, swelling and reduced vision. Past medical history included laryngectomy, bilateral neck dissection and post-operative radiotherapy for T4 N2c M0 squamous cell carcinoma of the supraglottis, 10 months earlier. Imaging showed an orbital mass extending along the roof and lateral aspect of the orbit into the optic canal and superior orbital fissure, and further posteriorly into the left cavernous sinus with meningeal enhancement in the left anterior cranial fossa. Histopathological analysis after biopsy showed the mass to be consistent with metastatic poorly differentiated squamous cell carcinoma.

Conclusion:

After searching the all English literature, we report what is, to our best knowledge, the first case of laryngeal carcinoma metastasis to the orbit. Despite its rarity and poor prognosis, such a metastasis should be considered as part of the differential diagnosis of an orbital mass, as timely recognition can improve the patient's quality of life.

Keywords

Laryngeal NeoplasmCarcinomaNeoplasm MetastasisOrbitPathology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 533 - 535
Copyright
Copyright © JLO (1984) Limited 2011

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