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Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 155-157

Osteosarcoma metastasis to the orbit presenting as severe proptosis following trivial trauma

Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India

Correspondence Address:
Dr. Amit Agrawal
Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore - 524 003, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3897.138862

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Orbital metastasis of osteosarcoma is rare with only few cases reported in literature. We report an unusual case of an eight-year-old female child who sustained injury to the left eye. Following injury, parents noticed swelling of the left eye. Computed tomographic (CT) scans showed a soft-tissue mass lesion involving the left frontal region and a biconvex extraconal high-density mass-lesion located in upper part of the left orbit pushing the eyeball downward. Also, a biconvex hyperdense intracranial lesion was noticed in left frontal region. Based on clinical and imaging findings, a left frontal extradural and orbital hematoma was suspected. At surgery, there was a highly vascular, firm tumor mass adherent to frontal bone extending into the orbit. There was erosion of and destruction of fronto-zygomatic bone. Histopathological examination of the tumor confirmed the diagnosis of osteosarcoma. In spite of radiotherapy, chemotherapy, and surgery, adequate local or regional control is not possible and the prognosis of osteosarcoma involving skull is poor and the treatment can only partially relieve the symptoms, but cannot eradicate the tumor.

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