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Adenoid cystic carcinoma of the palpebral lobe of the lacrimal gland – case report and literature review

2021; Taylor & Francis; Volume: 41; Issue: 5 Linguagem: Inglês

10.1080/01676830.2021.1901293

1744-5108

Ana Filipa Duarte, Diogo Alpuim Costa, Nuno Caçador, Ana Magriço Boavida, Ana Maria Sardinha Afonso, Miguel Vilares, Martìn H. Devoto,

Cancer and Skin Lesions

Epithelial tumors of the lacrimal gland are rare and usually develop in the orbital lobe. We report the exceedingly rare occurrence of a primary adenoid cystic carcinoma in the palpebral lobe of the lacrimal gland. A 26-year-old female was referred for evaluation of a gradually enlarging mass in the lateral upper eyelid, previously diagnosed as a chalazion. Computed tomography revealed a heterogeneous round lesion anterior to the orbital rim. Excisional biopsy was compatible with an adenoid cystic carcinoma. After excluding distant metastasis, and as the patient refused adjuvant radiotherapy, a second surgical procedure, with wide local excision, was indicated. Follow-up showed no recurrence. This case highlights the importance of performing a thorough clinical examination when diagnosing any lateral upper eyelid mass. A high index of suspicion for malignant tumors of the lacrimal gland should always be maintained, and a complete excision with histological analysis should be preferred whenever possible.