{"id":"https://openalex.org/W7225176138","doi":"https://doi.org/10.1055/s-0046-1829886","title":"Solitary yet Sinister: Intraconal Orbital Metastasis from Gastric Adenocarcinoma Resected through a Frontotemporal-Orbitozygomatic Craniotomy","display_name":"Solitary yet Sinister: Intraconal Orbital Metastasis from Gastric Adenocarcinoma Resected through a Frontotemporal-Orbitozygomatic Craniotomy","publication_year":2026,"publication_date":"2026-11-03","ids":{"openalex":"https://openalex.org/W7225176138","doi":"https://doi.org/10.1055/s-0046-1829886"},"language":"en","primary_location":{"id":"doi:10.1055/s-0046-1829886","doi":"https://doi.org/10.1055/s-0046-1829886","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1829886","pdf_url":null,"source":{"id":"https://openalex.org/S2764996317","display_name":"Asian Journal of Neurosurgery","issn_l":"1793-5482","issn":["1793-5482","2248-9614"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1055/s-0046-1829886","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081896086","display_name":"Rajat Mahawar","orcid":"https://orcid.org/0000-0003-0255-2864","observed_orcids":["https://orcid.org/0000-0003-0255-2864"]},"institutions":[{"id":"https://openalex.org/I4210134671","display_name":"M.S. Ramaiah Medical College","ror":"https://ror.org/03j554d90","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210134671"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rajat Mahawar","raw_affiliation_strings":["MS Ramaiah Medical College and Hospital, Karnataka, India"],"raw_orcid":"https://orcid.org/0000-0003-0255-2864","affiliations":[{"raw_affiliation_string":"MS Ramaiah Medical College and Hospital, Karnataka, India","institution_ids":["https://openalex.org/I4210134671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055950691","display_name":"Vedanth Manjunath","orcid":"https://orcid.org/0009-0008-0891-2182","observed_orcids":["https://orcid.org/0009-0008-0891-2182"]},"institutions":[{"id":"https://openalex.org/I4210134671","display_name":"M.S. Ramaiah Medical College","ror":"https://ror.org/03j554d90","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210134671"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vedanth Manjunath","raw_affiliation_strings":["MS Ramaiah Medical College and Hospital, Karnataka, India"],"raw_orcid":"https://orcid.org/0009-0008-0891-2182","affiliations":[{"raw_affiliation_string":"MS Ramaiah Medical College and Hospital, Karnataka, India","institution_ids":["https://openalex.org/I4210134671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023326241","display_name":"Parichay J. Perikal","orcid":"https://orcid.org/0000-0003-2535-7615","observed_orcids":["https://orcid.org/0000-0003-2535-7615"]},"institutions":[{"id":"https://openalex.org/I4210134671","display_name":"M.S. Ramaiah Medical College","ror":"https://ror.org/03j554d90","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210134671"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Parichay J. Perikal","raw_affiliation_strings":["MS Ramaiah Medical College and Hospital, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MS Ramaiah Medical College and Hospital, Karnataka, India","institution_ids":["https://openalex.org/I4210134671"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5104286180","display_name":"Rakshith Srinivasa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134671","display_name":"M.S. Ramaiah Medical College","ror":"https://ror.org/03j554d90","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210134671"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rakshith Srinivasa","raw_affiliation_strings":["MS Ramaiah Medical College and Hospital, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MS Ramaiah Medical College and Hospital, Karnataka, India","institution_ids":["https://openalex.org/I4210134671"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210134671"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89989308,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11328","display_name":"Ocular Oncology and Treatments","score":0.9253000020980835,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11328","display_name":"Ocular Oncology and Treatments","score":0.9253000020980835,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12992","display_name":"Metastasis and carcinoma case studies","score":0.041200000792741776,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/orbital-metastases","display_name":"orbital metastasis","score":0.8679999709129333},{"id":"https://openalex.org/keywords/gastric-adenocarcinoma","display_name":"gastric adenocarcinoma","score":0.996999979019165},{"id":"https://openalex.org/keywords/proptosis","display_name":"proptosis","score":0.8090000152587891},{"id":"https://openalex.org/keywords/blurred-vision","display_name":"blurred vision","score":0.7820000052452087},{"id":"https://openalex.org/keywords/surgical-excision","display_name":"surgical excision","score":0.5170000195503235},{"id":"https://openalex.org/keywords/immunohistochemistry","display_name":"immunohistochemistry","score":0.75}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9495000243186951},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.5814999938011169},{"id":"https://openalex.org/C2779159986","wikidata":"https://www.wikidata.org/wiki/Q4930803","display_name":"Blurred vision","level":2,"score":0.5720000267028809},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5281999707221985},{"id":"https://openalex.org/C2778871575","wikidata":"https://www.wikidata.org/wiki/Q514921","display_name":"Craniotomy","level":2,"score":0.5112000107765198},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.5059000253677368},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44429999589920044},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.4251999855041504},{"id":"https://openalex.org/C196644772","wikidata":"https://www.wikidata.org/wiki/Q3884964","display_name":"Orbit (dynamics)","level":2,"score":0.41499999165534973},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.40560001134872437},{"id":"https://openalex.org/C2779171459","wikidata":"https://www.wikidata.org/wiki/Q622969","display_name":"Orbital cellulitis","level":3,"score":0.4041000008583069},{"id":"https://openalex.org/C520017518","wikidata":"https://www.wikidata.org/wiki/Q178934","display_name":"Occult","level":3,"score":0.3847000002861023},{"id":"https://openalex.org/C2781182431","wikidata":"https://www.wikidata.org/wiki/Q356033","display_name":"Adenocarcinoma","level":3,"score":0.37290000915527344},{"id":"https://openalex.org/C2993283237","wikidata":"https://www.wikidata.org/wiki/Q189588","display_name":"Gastric adenocarcinoma","level":4,"score":0.328000009059906},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.3255999982357025},{"id":"https://openalex.org/C3020547009","wikidata":"https://www.wikidata.org/wiki/Q1070952","display_name":"Histopathological examination","level":2,"score":0.2825999855995178},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2500999867916107}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1055/s-0046-1829886","doi":"https://doi.org/10.1055/s-0046-1829886","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1829886","pdf_url":null,"source":{"id":"https://openalex.org/S2764996317","display_name":"Asian Journal of Neurosurgery","issn_l":"1793-5482","issn":["1793-5482","2248-9614"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Neurosurgery","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1055/s-0046-1829886","doi":"https://doi.org/10.1055/s-0046-1829886","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0046-1829886","pdf_url":null,"source":{"id":"https://openalex.org/S2764996317","display_name":"Asian Journal of Neurosurgery","issn_l":"1793-5482","issn":["1793-5482","2248-9614"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Neurosurgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W35976975","https://openalex.org/W1968881985","https://openalex.org/W2003244435","https://openalex.org/W2005811563","https://openalex.org/W2964950662","https://openalex.org/W3084267210","https://openalex.org/W3097034152","https://openalex.org/W3209551347","https://openalex.org/W4221088532","https://openalex.org/W4396666386"],"related_works":["https://openalex.org/W4323526196","https://openalex.org/W2015319667","https://openalex.org/W4414269317","https://openalex.org/W2921815337","https://openalex.org/W3194391501","https://openalex.org/W1992698713","https://openalex.org/W7098079666","https://openalex.org/W2614977047","https://openalex.org/W2946032175","https://openalex.org/W7123741970"],"abstract_inverted_index":{"Abstract":[0],"Orbital":[1],"metastases":[2],"are":[3,29,58,195],"uncommon.":[4],"They":[5],"account":[6],"for":[7],"1":[8],"to":[9,20,36],"13%":[10],"of":[11,22,32,38,48,74,98,117,128,145,173],"all":[12],"orbital":[13,41,113,155,179],"tumors":[14],"and":[15,62,78,147,163,190],"occur":[16],"in":[17,167],"roughly":[18],"2":[19],"5%":[21],"patients":[23,200],"with":[24,81,95,104,125,170,176,193,201],"systemic":[25],"cancer.":[26],"Often,":[27],"they":[28],"the":[30,40,44,118,129,138,141],"herald":[31],"disease.":[33],"In":[34,197],"20":[35],"42%":[37],"cases,":[39],"deposit":[42],"is":[43,67,160],"first":[45],"clinical":[46],"sign":[47],"an":[49,82,110,177,213],"occult":[50],"or":[51],"previously":[52],"treated":[53],"primary.":[54],"The":[55,121],"usual":[56],"sources":[57],"breast,":[59],"prostate,":[60],"lung,":[61],"cutaneous":[63],"melanoma.":[64],"Gastric":[65],"adenocarcinoma":[66,159],"rare.":[68],"Here,":[69],"we":[70],"report":[71],"a":[72,96,171],"presentation":[73],"right":[75],"axial":[76,101],"proptosis":[77,102],"blurred":[79,105],"vision":[80],"intraconal":[83,112,154,178],"mass":[84,114],"that":[85],"was":[86],"diagnosed":[87],"as":[88],"gastric":[89,135,158],"adenocarcinoma.":[90,136],"A":[91],"73-year-old":[92],"man":[93],"presented":[94],"history":[97,172],"progressive":[99],"right-sided":[100],"associated":[103],"vision.":[106],"Radiological":[107],"imaging":[108],"demonstrated":[109],"enhancing":[111],"causing":[115],"displacement":[116],"optic":[119],"nerve.":[120],"patient":[122,142,169],"underwent":[123],"craniotomy":[124],"complete":[126,204],"excision":[127,206],"lesion.":[130],"Histopathological":[131],"examination":[132],"revealed":[133],"metastatic":[134,182],"At":[137],"3-month":[139],"follow-up,":[140],"remained":[143],"free":[144],"recurrence":[146],"continued":[148],"under":[149],"regular":[150],"oncological":[151],"surveillance.":[152],"Solitary":[153],"metastasis":[156],"from":[157],"exceptionally":[161],"rare":[162],"should":[164],"be":[165],"considered":[166],"any":[168],"malignancy":[174],"presenting":[175],"mass.":[180],"Comprehensive":[181],"evaluation,":[183],"including":[184],"whole-body":[185],"positron":[186],"emission":[187],"tomography\u2013computed":[188],"tomography,":[189],"histopathological":[191],"confirmation":[192],"immunohistochemistry":[194],"essential.":[196],"carefully":[198],"selected":[199],"isolated":[202],"disease,":[203],"surgical":[205],"may":[207],"provide":[208],"durable":[209],"local":[210],"control,":[211],"supporting":[212],"individualized":[214],"rather":[215],"than":[216],"uniformly":[217],"palliative":[218],"treatment":[219],"approach.":[220]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-11-04T00:00:00"}