Cherian Iype, Shrestha Sachet Pravat, Panhani Moti Lal, Talwar O P, Yogi Nikunja, Rai Shiwani, Lalchan Subita, Fernandes Cecilia
Department of Neurosurgery, Manipal College of Medical Sciences, Phulbari, Pokhara, Kaski, Nepal.
BMJ Case Rep. 2010 Dec 15;2010:bcr0720103192. doi: 10.1136/bcr.07.2010.3192.
A 48-year-old man presented with proptosis of the left eye, which on excisional biopsy proved to be primary adenosquamous carcinoma of the lacrimal gland. The lesion was excised radically by a limited frontotemporo-orbitozygomatic approach and any further surgeries, such as exenteration, were avoided in view of the patient's wish to preserve the eye and vision. Long-term follow-up is planned to look for any metastasis or recurrence of the tumour. Primary adenosquamous carcinoma of the lacrimal gland is a very rare entity and, following a thorough literature review, only two cases of lacrimal gland adenosquamous carcinoma have been reported so far.
一名48岁男性因左眼突出就诊，切除活检证实为泪腺原发性腺鳞癌。通过有限的额颞眶颧入路将病变彻底切除，鉴于患者希望保留眼球和视力，避免了进一步的手术，如眶内容剜除术。计划进行长期随访以观察肿瘤是否有转移或复发。泪腺原发性腺鳞癌是一种非常罕见的疾病，经过全面的文献回顾，迄今为止仅报道了两例泪腺腺鳞癌病例。
