[A Case of Recurrent Breast Cancer Detected with Diplopia Caused by Sphenoid Bone Metastasis].

Abstract

We report a case of sphenoid bone metastasis from breast cancer detected with diplopia, as first site of recurrence. Forty- year-old woman with left breast cancer underwent breast-conserving surgery and sentinel lymph node biopsy. The diagnosis was papillotubular carcinoma, pT1pN0, ER(+), PgR(+), HER2(-). Tweleb years later, the examination of diplopia revealed left abducens nerve palsy for sphenoid bone metastasis from breast cancer. Radiation therapy(a total dose of 36 Gy with VMAT)was administrated as topical treatment, but diplopia did not improve. After that, systemic treatment was performed, and 2 years and 6 months have passed since the recurrence was found, she is still alive. We need to be careful of orbital metastasis as a symptom of metastasis from breast cancer.

• Authors: Takehiro Yanagawa, Kaori Kikumori, Kazuteru Oshima, Chiyomi Egawa, Yuichi Takatsuka, Shinsuke Katsuyama, Go Shinke, Kenji Kawai, Masayuki Hiraki, Yoshiteru Katsura, Yoshiaki Ohmura, Toru Masuzawa, Taishi Hata, Yutaka Takeda, Kohei Murata
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 49 Issue 3 Pg. 324-326 (Mar 2022) ISSN: 0385-0684 [Print] Japan
• PMID: 35299194 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Breast Neoplasms (pathology)
• Diplopia (etiology, surgery)
• Female
• Humans
• Mastectomy, Segmental
• Neoplasm Recurrence, Local (surgery)
• Sphenoid Bone (pathology)