Lacrimal gland neoplasm: histology unknown

Case contributed by Dr Vinay Shah

Presentation

Complaining of periorbital mass, reduced vision and proptosis.

Patient Data

Age: 40 years
Gender: Male
Modality: MRI

There is approx. 1.8 (SI) x 2.2 (AP) x 2.4 (TR) cm size heterogeneously enhancing extraconal hyperintense signal lesion seen on the T2W, STIR images in the right orbit superior lateral aspect, which shows hypointense on T1W images. The lesion is not seen separately from right lacrimal gland. The lesion is causing displacement of the right eyeball with resultant proptosis. The lesion is abutting the superior rectus muscle. The lesion is not showing restricted diffusion.         

Case Discussion

These findings represent lacrimal gland lesion. The main differential diagnosis include:  
  • primary neoplastic lesion
  • lymphoma
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Case Information

rID: 20761
Case created: 10th Dec 2012
Last edited: 8th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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