Henderson J W, Neault R W
Am J Ophthalmol. 1976 Dec;82(6):905-9. doi: 10.1016/0002-9394(76)90068-4.
The management of intrinsic neoplasms primary in the lacrimal gland is of serious concern because some of the most malignant primary tumors of the orbit occur in this glandular structure and present surgical techniques may easily disseminate the neoplasm and contribute to death or recurrences. We propose a surgical approach in which the tumor and adjacent adnexa are removed in a one-stage procedure, that is, an en bloc resection of the neoplasm, its periorbital base, and surrounding bone. This technique will minimize seeding of the tumor, provide a more complete eradication of the neoplasm without loss of the eye, and assure either a cure or a longer interval free of local recurrences or metastasis than is presently attainable.
泪腺原发性内肿瘤的处理是一个严重问题，因为眼眶中一些最恶性的原发性肿瘤发生在这个腺性结构中，而现有的手术技术可能轻易地播散肿瘤并导致死亡或复发。我们提出一种手术方法，即将肿瘤和相邻附件在一期手术中切除，也就是对肿瘤、眶周基底部及周围骨质进行整块切除。该技术将使肿瘤种植的可能性降至最低，在不摘除眼球的情况下更彻底地根除肿瘤，并确保治愈或获得比目前更长的无局部复发或转移间期。
