A Giant Pleomorphic Adenoma of Lacrimal Gland Involving the Palpebral Lobe Causing Severe Mechanical Ptosis. |
Byung Ju Jung, Yang Kyeung Cho, Tae Yoon La |
Department of Ophthalmology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. laty@catholic.ac.kr |
심한 기계성 위눈꺼풀 처짐을 유발한 눈물샘 눈꺼풀엽의 거대 다형성 샘종 1예 |
정병주⋅조양경⋅나태윤 |
Department of Ophthalmology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea |
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Abstract |
PURPOSE To report a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe causing severe mechanical ptosis and visual field defect, which was removed successfully. CASE SUMMARY: An 82-year-old man visited our clinic with a large protruding mass on his left upper lid that had grown for approximately 10 years causing severe ptosis. Preoperative orbital CT showed a 2.3 x 2.0 cm sized large mass which was suspicious of hemangioma. The mass was completely excised through a lid crease incision. The histopathologic examination showed typical findings of pleomorphic adenoma. After the surgery, preoperative mechanical ptosis was completely resolved and during the 6 months of follow-up, there was no abnormality of tear secretion and evidence of tumor recurrence. CONCLUSIONS: The authors experienced a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe and resolved mechanical ptosis by complete removal of the tumor through a lid crease incision. |
Key Words:
Giant pleomorphic adenoma;Lacrimal gland palpebral lobe;Mechanical ptosis |
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