Adenoid Cystic Carcinoma of the Lacrimal Gland: A Case Report with a Review of the Literature (original) (raw)

2014, Journal of Medical Imaging and Radiation Sciences

Adenoid cystic carcinomas, the most common malignancies of the lacrimal gland, are rare overall. We describe a patient who presented with right periorbital swelling developing over 5 months and magnetic resonance imaging findings of a soft tissue mass in the lacrimal fossa with invasion of the adjacent bone. The patient underwent right lateral orbitotomy with tumor debulking. Pathologic analysis showed neoplastic cells in a predominantly cribriform pattern, and the patient was diagnosed with an adenoid cystic carcinoma of the lacrimal gland. We review the clinical, radiographic, and histopathologic features of these rare, aggressive malignancies as well as treatment options with reference to the current literature. R ESUM E Le carcinome ad eno€ ıde kystique, la plus commune des tumeurs malignes des glandes lacrymales, demeure quand même rare. Nous d ecrivons le cas d'un patient pr esentant un oed eme p eriorbital de l'oeil droit d evelopp e sur une p eriode de cinq mois et les conclusions de l'examen IRM d'une masse de tissu mou dans la fosse lacrymale avec invasion de l'os adjacent. Le patient a subi une orbitotomie lat erale droite avec r eduction tumorale. L'analyse pathologique a montr e la pr esence de cellules n eoplasiques en pr esentation principalement cribriforme, et le patient a reçu un diagnostic de carcinome ad eno€ ıde kystique de la glande lacrymale. Nous examinons les caract eristiques cliniques, radiographique et histopathologiques de ces tumeurs malignes rares et agressives ainsi que les options de traitement, avec des r ef erences a la documentation scientifique actuelle.

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