The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Nasopharyngeal carcinoma

Photo by Professor Chua Chung Nen

This 32 year-old woman from a remote area was treated for nasopharyngeal carcinoma 2 years ago. She presented with a rapidly expanding lesion in the left orbit. The lesion was hard to touch and had bony attachment. The MRI scans revealed a large extraconal left orbital mass from the eyelid that extended into the medial extraconal space and into the parasellar space. The tumour was most likely to arise from recurrent nasopharyngeal carcinoma. She was referred to the oncologist for radio- and chemotherapy.

 

Left orbital mass.

 

Left orbital mass that extends from the eyelid into the orbit and into the parasellar space.

 

Lesion in the parasellar space.

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