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Pleomorphic Adenoma with Sarcomatous Change in a Lacrimal Gland.

Sung KS, Kim DC, Ahn HB, Song YJ - J Korean Neurosurg Soc (2015)

Bottom Line: Postoperatively, the adjuvant radiotherapy was done four weeks later.The patient's symptoms were improved.The pleomorphic adenoma with osteosarcomatous change is extremely rare and appropriate treatment is not clearly established.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea.

ABSTRACT
A 69-year-old man was referred with left exophthalmos. Computed tomographic (CT) findings detected a well-circumscribed mass in the left side of the intraorbital cavity. At that time, he refused the further evaluation and treatment. About three years later, the size of the mass had enlarged, and the patient's symptoms were getting worse. The mass was completely removed with frontotemporal craniotomy and superolateral orbitotomy. In operative findings, the mass had originated in the lacrimal gland and was well-encapsulated without invasion to the surrounding tissue. In the pathologic findings, the tumor consisted of pleomorphic adenoma with osteosarcomatous change of stromal components. Postoperatively, the adjuvant radiotherapy was done four weeks later. The patient's symptoms were improved. The pleomorphic adenoma with osteosarcomatous change is extremely rare and appropriate treatment is not clearly established. We would like to report this rare case with a review of the literature.

No MeSH data available.


Related in: MedlinePlus

After 33 months, the patient showed 12 mm (OD)/22 mm (OS) in the Hertel exophthalmometer examination.
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Figure 2: After 33 months, the patient showed 12 mm (OD)/22 mm (OS) in the Hertel exophthalmometer examination.

Mentions: A 69-year-old male presented with a slow progression of the left side exophthalmos during one month. The Hertel exophthalmometer result was 11 mm (OD)/18 mm (OS). Orbital 473computed tomography (CT) and magnetic resonance imaging (MRI) were performed. The CT revealed a well-circumscribed mass lesion with calcification in the supero-lateral area of the left orbit (Fig. 1A). The MRI showed a mass lesion with inhomogenous enhancement in the same area (Fig. 1B). We recommended surgical treatment, but the patient refused the treatment. After 33 months, the patient visited the hospital. He had not undergone any treatment for his disease during the follow-up loss period. His symptoms had worsened severely. The status of the exophthalmos was 12 mm (OD)/22 mm (OS) and the he presented left sided ptosis (Fig. 2). The orbital CT and MRI revealed an expansion of the previous mass and the mass compressed the orbital contents and optic nerve infero-medially (Fig. 3).


Pleomorphic Adenoma with Sarcomatous Change in a Lacrimal Gland.

Sung KS, Kim DC, Ahn HB, Song YJ - J Korean Neurosurg Soc (2015)

After 33 months, the patient showed 12 mm (OD)/22 mm (OS) in the Hertel exophthalmometer examination.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4502248&req=5

Figure 2: After 33 months, the patient showed 12 mm (OD)/22 mm (OS) in the Hertel exophthalmometer examination.
Mentions: A 69-year-old male presented with a slow progression of the left side exophthalmos during one month. The Hertel exophthalmometer result was 11 mm (OD)/18 mm (OS). Orbital 473computed tomography (CT) and magnetic resonance imaging (MRI) were performed. The CT revealed a well-circumscribed mass lesion with calcification in the supero-lateral area of the left orbit (Fig. 1A). The MRI showed a mass lesion with inhomogenous enhancement in the same area (Fig. 1B). We recommended surgical treatment, but the patient refused the treatment. After 33 months, the patient visited the hospital. He had not undergone any treatment for his disease during the follow-up loss period. His symptoms had worsened severely. The status of the exophthalmos was 12 mm (OD)/22 mm (OS) and the he presented left sided ptosis (Fig. 2). The orbital CT and MRI revealed an expansion of the previous mass and the mass compressed the orbital contents and optic nerve infero-medially (Fig. 3).

Bottom Line: Postoperatively, the adjuvant radiotherapy was done four weeks later.The patient's symptoms were improved.The pleomorphic adenoma with osteosarcomatous change is extremely rare and appropriate treatment is not clearly established.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea.

ABSTRACT
A 69-year-old man was referred with left exophthalmos. Computed tomographic (CT) findings detected a well-circumscribed mass in the left side of the intraorbital cavity. At that time, he refused the further evaluation and treatment. About three years later, the size of the mass had enlarged, and the patient's symptoms were getting worse. The mass was completely removed with frontotemporal craniotomy and superolateral orbitotomy. In operative findings, the mass had originated in the lacrimal gland and was well-encapsulated without invasion to the surrounding tissue. In the pathologic findings, the tumor consisted of pleomorphic adenoma with osteosarcomatous change of stromal components. Postoperatively, the adjuvant radiotherapy was done four weeks later. The patient's symptoms were improved. The pleomorphic adenoma with osteosarcomatous change is extremely rare and appropriate treatment is not clearly established. We would like to report this rare case with a review of the literature.

No MeSH data available.


Related in: MedlinePlus