Introduction: Adrenal cortical carcinoma (ACC) is a rare tumor which has an aggressive disease course and an early metastasis. When present, metastasis mainly involves lung or bones. Orbital metastasis from adrenal cortical carcinoma is a rare occurrence. The present report describes a case of adrenal cortical carcinoma with isolated orbital metastasis. Case presentation: A 54-year-old postmenopausal women who was operated for adrenal cortical carcinoma 1 year back presented with protrusion of left eye which was diagnosed as isolated metastasis to orbit after complete work up. Conclusion: ACC is a rare and an aggressive tumour with poor long term survival which infrequently spreads to the orbit. The current treatment protocols are disappointing and there is a need for better therapies. Further studies are needed at molecular level to understand the pathogenesis of the disease and to give better outcome.
Adrenal cortical carcinoma, orbital metastasis, Post menopausal women