Yamada T, Kato T, Hayasaka S, Hayasaka Y, Kadoi C
Division of Ophthalmology, Asahi General Hospital, Toyama, Japan.
Ophthalmologica. 1999;213(4):269-72. doi: 10.1159/000027434.
A 46-year-old man complained of a painless mass in the left upper eyelid. At age 51 years, the patient complained of dull pain in the left eye and diplopia. His left intraocular pressure had increased to 33 mm Hg. No proptosis was noted. The nontender mass in the eyelid was palpable. Computed tomography showed a mass anterior to the orbital rim compressing the globe. The lesion was removed en bloc by a transconjunctival approach. Histopathologic examination of the excised mass showed myxomatous stroma and highly cellular epithelial areas. Postoperatively, the left intraocular pressure normalized. To our knowledge, benign pleomorphic adenomas arising from the palpebral lobe of the lacrimal gland associated with elevated intraocular pressure, as demonstrated in our patient, may be rare.
一名46岁男性主诉左上眼睑有一无痛性肿块。51岁时，该患者主诉左眼钝痛及复视。其左眼眼压已升至33 mmHg。未发现眼球突出。眼睑处可触及无压痛肿块。计算机断层扫描显示眶缘前方有一肿块压迫眼球。通过经结膜入路将病变整块切除。切除肿块的组织病理学检查显示有黏液瘤样间质和细胞丰富的上皮区域。术后，左眼眼压恢复正常。据我们所知，如我们的患者所示，起源于泪腺睑叶且伴有眼压升高的良性多形性腺瘤可能很罕见。
