Orbital metastasis from oesophageal cancer. When the ophtalmologist meets gastrointestinal specialists

Ruiz-Casado, A.; Hijos, M.; Ruiz, R.; Romero, J.

doi:10.1016/j.oftale.2022.04.001

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When the ophtalmologist meets gastrointestinal specialists" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "594" "paginaFinal" => "595" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Ruiz-Casado, M. Hijos, R. Ruiz, J. Romero" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Ruiz-Casado" "email" => array:1 [ 0 => "arcasado@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Hijos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Ruiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "J." 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Cuando el oftalmólogo se reúne con los especialistas gastrointestinales" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 703 "Ancho" => 755 "Tamanyo" => 60230 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Right intraconal metastasis from oesophageal origin." ] ] ] "textoCompleto" => "We have read with interest the manuscript on orbital metastases reported by Montejano-Milner et al.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> This series do not include any case of gastrointestinal origin. We agree with the authors that being a rare location of metastases, and having the ophthalmologist an essential role in the diagnosis, the basis for the collaboration with the usual multidisciplinary team should be established.We have recently diagnosed a case of intraconal metastasis from oesophageal cancer. A 73 year-old patient with a history of oesophageal adenocarcinoma in Barrett’s oesophagus diagnosed in January 2018, presented in November 2020 with diplopia and proptosis. This patient had received neoadjuvant radiotherapy. Pathological staging after total oesophagectomy was ypT1b pN1 M0. No evidence of disease had been suspected in the follow-up. CT scan and MR showed a right metastasis with proptosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This metastasis was located in the intraconal fat contacting with optic nerve, globe and muscle.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> A PET-CT showed disseminated disease with liver, adrenal, bone, muscular and peritoneal metastases. After discussion in the multidisciplinary team meeting, the responsible physicians contacted both the ophthalmologist and the radiologist who actually had diagnosed the patient and were not summoned to the meeting because they are not usually involved with the management of patients with gastrointestinal cancer.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>The patient was initially treated with palliative radiotherapy followed by chemotherapy (FOLFIRI). He survived 11 months after the diagnosis of orbital metastases.Orbital metastases from gastrointestinal origin are very rare representing only 4% of the total.<a class="elsevierStyleCrossRefs" href="#bib0015">3,4</a> Metastases from esophageal cancer are extremely rare, but at least two other cases have been reported.<a class="elsevierStyleCrossRefs" href="#bib0025">5,6</a> A very interesting article revealed that eye was the second most frequent location of uncommon metastatic sites of oesophageal cancer.<a class="elsevierStyleCrossRef" href="#bib0035">7</a> From this case, we can learn that it is meaningful treating these patients because relevant survivals can be obtained with active therapies, as Montejano-Milner et al. propose.This is a paradigmatic situation that occurs out of the setting of multidisciplinary team meetings. The cancer committee should have procedures to incorporate the specialists involved in the diagnosis of this rare metastasis into the discussion.Conflict of interestsThe authors declare that they have no conflict of interest." "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Ruiz-Casado A, Hijos M, Ruiz R, Romero J. Metástasis orbital de cáncer de esófago. Cuando el oftalmólogo se reúne con los especialistas gastrointestinales. Arch Soc Esp Oftalmol. 2022;97:595–596." ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 703 "Ancho" => 755 "Tamanyo" => 60230 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Right intraconal metastasis from oesophageal origin." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Orbital metastasis: clinical presentation and survival in a series of 11 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Montejano-Milner" 1 => "A. López-Gaona" 2 => "P. Fernández-Pérez" 3 => "M. Sánchez-Orgaz" 4 => "R. Romero-Martín" 5 => "A. Arbizu-Duralde" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.oftale.2020.07.014" "Revista" => array:6 [ "tituloSerie" => "Arch Soc Esp Oftalmol (Engl Ed)." "fecha" => "2022" "volumen" => "97" "paginaInicial" => "81" "paginaFinal" => "88" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35152953" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Orbital neoplasms in adults: clinical, radiologic, and pathologic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T.D. Tailor" 1 => "D. Gupta" 2 => "R.W. Dalley" 3 => "C.D. Keene" 4 => "Y. 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Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Vol. 97. Issue 10.

Pages 594-595 (October 2022)

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