Adenoid cystic carcinoma of the lacrimal gland

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Pain and propstosis in the left eye.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Axial C+
arterial phase
Axial C+
arterial phase
Coronal
non-contrast
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Info

Selected images of CT scan showing a soft tissue hyperattenuating mass in the superior lateral corner of the left orbit which has vivid contrast enhancement. 

Axial
T1
Axial
T1
Axial T1
C+ fat sat
Coronal
T1
Sagittal
T1
Coronal
T1 C+
Axial
T2
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Info

The left orbit anterior mass in the topography of the lacrimal gland is shown with a low T1 signal, a high heterogenous signal on T2 with a small cystic area, and vivid contrast enhancement. 

Case Discussion

Adenoid cystic carcinoma is a type of a malignant tumor that affects glandular structures. Orbital adenoid cystic carcinoma usually occurs in patients aged 20-50 years.

This patient had excisional removal of the mass and the final diagnosis was confirmed by histology. 

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