Comprehensive management of a rare carcinoma ex pleomorphic  adenoma of the lacrimal gland with a modified lateral  orbitotomy access osteotomy. A case report

Comprehensive management of a rare carcinoma ex pleomorphic adenoma of the lacrimal gland with a modified lateral orbitotomy access osteotomy. A case report

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Yogesh K. Kini & Rajshekhar Halli & Somen Mishra & Jitendra V. Kalburge
  • چاپ و سال / کشور: 2011

Description

Background Complete management of extraconal ocular tumors may require the joint efforts of a maxillofacial surgeon to provide access and an ophthalmic surgeon to completely excise the lesion. Pleomorphic adenoma is the most common benign tumor of the lacrimal glands, representing around 12% of the lacrimal fossa lesions. They may however undergo malignant changes. Carcinoma ex pleomorphic adenoma (CXPA), a type of malignant mixed tumor of the lacrimal gland has been rarely reported. Case report We report a case of CXPA of the lacrimal gland in a 35-year-old male. He was managed by a modified lateral orbitotomy access osteotomy with complete removal of the lesion and showed postoperative uneventful recovery. Discussion Accurate clinical diagnosis of a neoplasm in the orbital cavity is important for correct therapeutic management. This paper emphasises on the comprehensive management of these lesions with a special emphasis on diagnosis and surgical technique.
Oral Maxillofac Surg DOI 10.1007/s10006-011-0269-6 Received: 17 November 2010 / Accepted: 2 March 2011
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