PERIOCULAR METASTASIS ASSOCIATED WITH COLORECTAL CARCINOMA

Purpose: To present a case of a 69-year old woman with periocular metastatic disease. Methods: Standard ophthalmic examination combined with CT and PET/CT imaging, surgical excision of the tumour and histopathological and immunohistochemical examination. Results: Patient presents with large solid lesion in left lateral eyelid angle. After surgical excision histopathological examination shows metastatic moderately to poorly differentiated rectal adenocarcinoma. PET/CT shows whole body subcutaneous metastases. Patient receives chemotherapy and eighteen months after eyelid surgery is without local recurrence. Conclusions: Periocular metastasis can present with nonspecific features and should be considered in patients with known systemic malignancy. Treatment and follow up of these patients is multidisciplinary team work