Shields J A, Shields C L, Eagle R C, Adkins J, De Potter P
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Am J Ophthalmol. 1997 Mar;123(3):398-9. doi: 10.1016/s0002-9394(14)70138-2.
To describe the clinical, imaging, and histopathologic findings of an adenoid cystic carcinoma that occurred in the medial orbit.
A 26-year-old man developed a painless soft tissue mass in the nasal aspect of the left orbit. Computed tomography was done, and incisional biopsy performed elsewhere disclosed adenoid cystic carcinoma. Orbital exenteration was performed.
Computed tomography showed a 1.5cm mass in the antronasal region of the orbit without bone erosion. Histopathology disclosed adenoid cystic carcinoma.
Although orbital adenoid cystic carcinoma usually originates superotemporally in the main lacrimal gland, it can develop in the nasal orbit, possibly from ectopic lacrimal gland tissue. Adenoid cystic carcinoma should be included in the differential diagnosis of tumors of the nasal orbit.
描述发生于眶内侧的腺样囊性癌的临床、影像学及组织病理学表现。
一名26岁男性患者，左侧眼眶鼻侧出现无痛性软组织肿块。进行了计算机断层扫描，在其他地方进行的切开活检显示为腺样囊性癌。遂行眼眶内容剜除术。
计算机断层扫描显示眼眶鼻前区有一个1.5厘米的肿块，无骨质侵蚀。组织病理学显示为腺样囊性癌。
尽管眼眶腺样囊性癌通常起源于颞上象限的主泪腺，但也可发生于鼻侧眼眶，可能源于异位泪腺组织。腺样囊性癌应列入鼻侧眼眶肿瘤的鉴别诊断。
