Orbital metastasis from breast carcinoma: structured literature review and report of four cases - Summary - MDSpire

Orbital metastasis from breast carcinoma: structured literature review and report of four cases

  • By

  • Christian Kim

  • Mica Bergman

  • Roxana Fu

  • Caroline Vargason

  • Michael A. Burnstine

  • June 19, 2026

  • 0 min

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Objective:

To review the clinical features of orbital metastases from breast carcinoma and describe four additional patients.

Approach:
    Key Findings:
    • Sixty-nine cases of breast carcinoma metastatic to the orbit were reviewed from 63 articles.
    • 96% of patients were female, with an average age of 60 years at presentation (range: 31–83).
    • 43% of patients had orbital metastasis as the initial manifestation of breast cancer.
    • 51% of reported primary tumors were lobular carcinoma, and 43% were ductal carcinoma.
    • Common presenting symptoms included diplopia (65%) and decreased or blurry vision (48%).
    Interpretation:

    Metastatic breast cancer is increasingly characterized by improved survival and prolonged disease control in selected patients.

    Limitations:
    • The search was limited to a single database, potentially omitting relevant cases indexed elsewhere.
    • Documentation of survival time was inconsistent across studies.
    Conclusion:

    In patients with a history of breast cancer, metastatic disease should be considered in those presenting with orbital pathology.

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