Adenoid cystic carcinoma of lacrimal gland

Case contributed by Shervin Sharifkashani
Diagnosis almost certain


Left side orbital pain and proptosis.

Patient Data

Age: 40 years
Gender: Female

Well-defined solid mass lesion with axial dimensions up to 25 x 15 mm and height up to 15 mm in left lacrimal gland orbital segment with erosion of adjacent cortical bone. The mass is partially encased related to the uveo-scleral layer of the eye and has led to proptosis. The medial margin of the mass has displaced and partially encased the superior rectus muscle-levator palpebrae superioris muscle complex.
Empty sella is also noted.

Case Discussion

The case illustrates non-contrast MDCT features of pathology-proven adenoid cystic carcinoma of the lacrimal gland. The main treatment is surgical excision but the tumor has relatively high recurrence rates and poor outcomes 1.

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