Orbital metastasis as a presenting feature of papillary thyroid carcinoma: Case report and literature review.

Armida L SULLER-PANSACOLA; Bea Therese D BASCO; Edwin Michael Joy B PACIA; Christine Joyce MINAS-SANTICRUZ; Rolando A LOPEZ; Francis Paulo D DIZON; Alessa BATTISTINI-CASTILLO

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Orbital metastasis as a presenting feature of papillary thyroid carcinoma: Case report and literature review.

Author: Armida L. SULLER-PANSACOLA ^{1
,

2
,

3} ; Bea Therese D. BASCO ¹ ; Edwin Michael Joy B. PACIA ⁴ ; Christine Joyce MINAS-SANTICRUZ ⁵ ; Rolando A. LOPEZ ⁶ ; Francis Paulo D. DIZON ⁷ ; Alessa BATTISTINI-CASTILLO ⁸
Author Information

1. Department of Ophthalmology, University of Santo Tomas Hospital, Manila, Metro Manila, NCR, Philippines
2. Department of Ophthalmology and Visual Sciences, College of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, NCR, Philippines
3. Manila Doctors Hospital, Manila, Metro Manila, NCR, Philippin
4. Section of Neurosurgery, Department of Surgery, University of Santo Tomas Hospital, Manila, Metro Manila, NCR, Philippines
5. Department of Surgery, University of Santo Tomas Hospital, Manila, Metro Manila, NCR, Philippines
6. Department of Anatomic Pathology, University of Santo Tomas Hospital, Manila, Metro Manila, NCR, Philippines
7. Department of Anatomic and Clinical Pathology, University of Santo Tomas Hospital, Manila, Metro Manila, NCR, Philippines
8. Department of Radiology, The Medical City, Pasig, Metro Manila, NCR, Philippines
Publication Type:Case Report
Keywords: Orbital Metastasis
MeSH: Human; Female; Middle Aged: 45-64 Yrs Old; Thyroid Neoplasms; Thyroid Carcinoma; Thyroid Cancer; Papillary Thyroid Carcinoma; Thyroid Cancer, Papillary
From: Acta Medica Philippina 2025;59(Early Access 2025):1-14
CountryPhilippines
Abstract:
A 61-year-old woman presented with a 2-month history of non-painful left eye proptosis. Imaging studies showed a superotemporal mass in the left orbit with intracranial extension. Surgical excision of the orbitocranial mass was performed and histopathologic examination revealed metastatic papillary thyroid carcinoma. She subsequently underwent total thyroidectomy. Orbital metastasis from thyroid carcinoma is rare and can be the initial manifestation of occult disease in 63% of cases.