Daniel Lily, Rao Shalinee, Muthusamy Radhakrishnan, Yerramsetti Deepika
Department of Ophthalmology, Orbit and Oculoplastic Surgeon, Sri Ramachandra University Teaching Hospital, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2014 Jun;62(6):743-6. doi: 10.4103/0301-4738.136281.
Carcinoma ex pleomorphic adenoma in lacrimal gland is a rare entity unlike its salivary gland counterpart. This rare tumor poses a diagnostic challenge to clinicians as pre-operative diagnosis is difficult and diagnosis is only by careful pathological assessment. We report this uncommon lesion in a 62-year-old lady, wherein the malignant component was mucoepidermoid carcinoma. The elderly patient remained clinically and radiologically free of the tumor for two years after complete excision of the tumor but computed tomography at the end of two and a half years showed a recurrent lesion in the region of the lacrimal gland. This makes long term follow up of patients with these rare lacrimal tumors imperative with a minimum period of at least five years.
泪腺多形性腺瘤恶变是一种罕见的疾病，与涎腺的同类疾病不同。这种罕见肿瘤给临床医生带来了诊断挑战，因为术前诊断困难，只能通过仔细的病理评估来确诊。我们报告了一位62岁女性的这种罕见病变，其中恶性成分是黏液表皮样癌。这位老年患者在肿瘤完全切除后两年临床和影像学检查均未发现肿瘤，但在两年半时的计算机断层扫描显示泪腺区域有复发病变。这使得对这些罕见泪腺肿瘤患者进行至少五年的长期随访势在必行。
