AI Article Synopsis
- A 59-year-old man experienced sudden vision issues, proptosis of the left eye, and mild double vision, leading to his admission for evaluation.
- Imaging studies revealed a two-centimeter mass located in the lacrimal gland, prompting surgical removal through a specialized approach.
- Histological analysis confirmed the diagnosis of acinic cell carcinoma, but follow-up scans over a seven-year period showed no signs of tumor recurrence.
Article Abstract
To report a case of acinic cell carcinoma occurred in the lacrimal gland. A 59-year-old man was admitted because of sudden blurring of vision, progressive proptosis of the left eye, and mild double vision in left and down directions of the gaze (Hess-Lancaster test). His medical history detailed controlled bilateral keratoconus and open angle glaucoma. On examination, the best corrected visual acuity decreased from 8/20 till 1/50 in one week. There was a swelling of the left upper eyelid. A hard and tender mass was palpated in the superior temporal left orbit. Ultrasound scan showed an extraconal solid mass, situated in the superior lateral corner of the orbit. Computed tomography and magnetic resonance imaging (MRI) revealed a mass of two centimeters in diameter, with round well-defined outline, within the lacrimal gland. We performed an enucleoresection of the mass, via a coronal approach and a lateral orbitotomy by a piezosurgical device. The lesion appeared nodular, brownish, measuring about 2 × 1.5 cm. Histopathological findings were consistent with acinic cell carcinoma with a microcystic, focally papillary-cystic growth of pattern. Follow-up MRI outcomes led to removal of the residual lacrimal gland for suspicion of recurrence. No tumor recurrences where detected at 7-year follow-up.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872994 | PMC |
| http://dx.doi.org/10.1159/000503557 | DOI Listing |
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