Henderson J W, Neault R W
Trans Am Ophthalmol Soc. 1976;74:133-43.
The management of intrinsic neoplasms primary in the lacrimal gland is of serious concern because (1) some of the most malignant primary tumors of the orbit occur in this glandular structure and (2) 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 hopefully, 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治疗令人严重关切，原因如下：（1）眼眶一些最恶性的原发性肿瘤发生在这个腺性结构中；（2）目前的手术技术可能轻易地使肿瘤播散，并导致死亡或复发。我们提出一种手术方法，即通过一期手术切除肿瘤及相邻附件，也就是整块切除肿瘤、其眶周基底和周围骨质。该技术将使肿瘤种植风险降至最低，在不摘除眼球的情况下更彻底地根除肿瘤，并有望确保治愈，或实现比目前更长的无局部复发或转移间期。
