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Paraneoplastic Bilateral Proptosis in a Case of Non-small Cell Lung Cancer*

Andreas H. Diacon, MD; Macé M. Schuurmans, MD; Frans J. Colesky, MD; Chris T. Bolliger, MD, FCCP
Author and Funding Information

*From the Departments of Internal Medicine (Drs. Diacon, Schuurmans, and Bolliger) and Pathology (Dr. Colesky), Tygerberg Hospital, University of Stellenbosch, Cape Town, South Africa.

Correspondence to: Andreas H. Diacon, MD, Department of Internal Medicine, Tygerberg Hospital, University of Stellenbosch, PO Box 19063, 7505 Tygerberg, South Africa; e-mail: ahd@sun.ac.za



Chest. 2003;123(2):627-629. doi:10.1378/chest.123.2.627
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We report the case of a 51-year-old woman with a large cell bronchial carcinoma with neuroendocrine differentiation (T3N0M0, stage IIB) and bilateral exophthalmos. A CT of the orbitae was compatible with Graves ophthalmopathy, but neither abnormalities in thyroid function nor thyroid antibodies could be found. The proptosis normalized 10 days after tumor resection. We conclude that the most likely cause of the reversible proptosis in this patient is paraneoplastic, a condition not previously described in the English-language literature.

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