J Korean Ophthalmol Soc.  1988 Dec;29(6):1113-1118.

A Case of Adenoid Cystic Carcinoma of the Lacrimal Gland

• Moon JH
• Kim YD

Abstract

A 49-year-old man had a 5-year history of left proptisis accompanied by headache, ocular pain, ocular motility and visual disturbance. Corrected visual acuity was 1.0 in the right and 0.2 in the left eye. There was 9mm of left proptosis by Hertel exophthalmometry. A hard, nontender mass was palpable in the superotemporal part of the orbit. Lateral and up gaze were impaired in the left eye. On the slit lamp examination of the left eye, there were moderate corneal edema and erosions resulting from lagophthalmos. Computed axial tomgraphy showed a large ill-defined massi with homogenous enhancement in the superior temporal part of the left orbit. The mass was removed by modified Kronlein operation as much as possible and diagnosed as the adenoid cystic carcinoma of the lacrimal gland by the light microscopic examination. The tumor cell already extended to contiguous bone, blood vessel. perineurium and adjacent muscles. One month after the operation, 5040 rad of radiation therapy was given. The mass was remarkably decreased in size after radiation. We are planning further radiation therapy now.

MeSH Terms

Adenoids*
Blood Vessels
Carcinoma, Adenoid Cystic*
Corneal Edema
Exophthalmos
Headache
Humans
Lacrimal Apparatus*
Middle Aged
Muscles
Orbit
Peripheral Nerves
Visual Acuity