[泪腺多形性腺瘤伴坏死灶的非典型表现]
[Atypical presentation of lacrimal gland pleomorphic adenoma with necrotic foci].
作者信息
Casado A, Sánchez-Gutiérrez V, Barrancos C, Albandea A
机构信息
Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
出版信息
Arch Soc Esp Oftalmol. 2015 Sep;90(9):432-4. doi: 10.1016/j.oftal.2015.02.019. Epub 2015 Apr 2.
CLINICAL CASE
The case is presented of 48 year-old male complaining of a painful left upper eyelid and swelling of the lacrimal gland, with a suspicion of dacryoadenitis. Removal was decided after dacriops suspicion. Histopathology diagnosed a pleomorphic adenoma of the lacrimal gland, with areas of necrosis.
DISCUSSION
Lacrimal gland pleomorphic adenoma usually presents as a slowly progressive painless mass. However, painful presentation in this case might be related with necrotic foci found in the histopathological examination. Although not described in lacrimal glands, pleomorphic adenomas have already been reported in the major and minor salivary glands, and these patients also presented with a painful mass.
临床病例
该病例为一名48岁男性，主诉左上眼睑疼痛及泪腺肿胀，怀疑患有泪腺炎。在怀疑泪腺肿瘤后决定进行切除。组织病理学诊断为泪腺多形性腺瘤，伴有坏死区域。
讨论
泪腺多形性腺瘤通常表现为缓慢进展的无痛性肿块。然而，该病例中出现疼痛可能与组织病理学检查中发现的坏死灶有关。虽然泪腺中未描述，但多形性腺瘤已在大唾液腺和小唾液腺中报道，这些患者也表现为疼痛性肿块。
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