Kincaid M C, Meis J M, Lee M W
Department of Pathology, Henry Ford Hospital, Detroit.
Ophthalmology. 1989 Nov;96(11):1655-8. doi: 10.1016/s0161-6420(89)32682-0.
Adenoid cystic carcinoma is the most common epithelial malignancy of the lacrimal gland and minor salivary glands. Its occurrence in the lacrimal drainage system is extremely rare. A 57-year-old woman presented with epiphora and a mass in the lacrimal sac, which proved to be an adenoid cystic carcinoma. Histologically, it appeared to arise from the wall of the lacrimal sac, and both the lacrimal gland and maxillary antrum were uninvolved by tumor. Despite aggressive surgical intervention, recurrence and metastasis developed. Adenoid cystic carcinoma must be considered in the differential diagnosis of epiphora.
腺样囊性癌是泪腺和小唾液腺最常见的上皮性恶性肿瘤。其在泪道系统中的发生极为罕见。一名57岁女性因溢泪和泪囊肿物就诊，经证实为腺样囊性癌。组织学检查显示，肿瘤似乎起源于泪囊壁，泪腺和上颌窦均未受肿瘤累及。尽管采取了积极的手术干预，但仍出现了复发和转移。在溢泪的鉴别诊断中必须考虑腺样囊性癌。
