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      Posttraumatic Benign Pleomorphic Adenoma of the Lacrimal Gland


      S. Karger AG

      Pleomorphic adenoma, Trauma

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          A 55-year-old man presented with a painless and slowly developing mass in the right superior lateral eyelid region. He had sustained periorbital blunt injury about 4 years previously. The mass was observed several months later in the persisting traumatic tumefaction region. Computed tomography showed a cystic soft-tissue mass with central low density and peripheral enhancement over the upper anterior quadrant of the right orbit. Lateral orbitotomy was performed to remove the lesion. Histopathologic examination showed proliferation of epithelial and myoepithelial cells arranged in ductules and nests in the myxoid stroma. Benign pleomorphic adenoma of the lacrimal gland associated with traumatic tumefaction, as demonstrated in our patient, may be rare.

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          Benign Pleomorphic Adenoma Arising from the Palpebral Lobe of the Lacrimal Gland Associated with Elevated Intraocular Pressure

          A 46-year-old man complained of a painless mass in the left upper eyelid. At age 51 years, the patient complained of dull pain in the left eye and diplopia. His left intraocular pressure had increased to 33 mm Hg. No proptosis was noted. The nontender mass in the eyelid was palpable. Computed tomography showed a mass anterior to the orbital rim compressing the globe. The lesion was removed en bloc by a transconjunctival approach. Histopathologic examination of the excised mass showed myxomatous stroma and highly cellular epithelial areas. Postoperatively, the left intraocular pressure normalized. To our knowledge, benign pleomorphic adenomas arising from the palpebral lobe of the lacrimal gland associated with elevated intraocular pressure, as demonstrated in our patient, may be rare.

            Author and article information

            S. Karger AG
            June 2001
            20 April 2001
            : 215
            : 3
            : 235-237
            Department of Ophthalmology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung, Taiwan
            50865 Ophthalmologica 2001;215:235–237
            © 2001 S. Karger AG, Basel

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            Page count
            Figures: 2, References: 7, Pages: 3
            Case Report · Description de cas · Fallbericht

            Vision sciences, Ophthalmology & Optometry, Pathology

            Trauma, Pleomorphic adenoma


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