Ocular Metastasis from Breast Cancer: A Case Report and Review of Literatures

Abstract

Male breast cancer is relatively uncommon, representing less than 1% of all breast cancer with a peak incidence at 70 years. The principles of management are like that for female patients, including surgery (more mastectomy in men), radiotherapy and systemic treatment. The prognosis is stage dependent and it is generally worse than female breast cancer due to late presentation. The choroid is a relatively common site for metastasis due to rich blood supply and the most common primaries are the breast and the lung. We are presenting a case of a male patient with locally advanced breast cancer, who had mastectomy and radiotherapy in 2015 and who presented three years later with blurred vision in the left eye and was found to have choroidal metastasis. He had urgent palliative radiotherapy to the left eye. Further investigation followed showing widespread metastatic disease and he demised shortly thereafter.