FP572 : To Study the Clinical Spectrum and Management of Pathologically Proven Epithelial Tumors of Lacrimal Gland

Dr. Rakesh Kumar, K15626, Dr. Pankaj Gupta

Methods : We performed a retrospective record analysis of all patients presenting with symptoms and/or signs involving the lacrimal glands from 2010-2016

Results : There were total 21 patients in the age range of 12 to 60 years (mean 34 years). All patients presented with unilateral lesion. Pleomorphic adenoma (61.9%) was the leading cause of lacrimal gland tumor followed by adenoid- cystic carcinoma (33.3%) and oncocytoma (4.7%). The presenting symptoms were superotemporal mass (66.6%) and proptosis (33.3%). Imaging revealed
extraorbital spread in 4 patients. The diagnosis was proven by cyology and/or histopathology in all. All tumors were surgically excised. In addition patients with adenoid-cystic carcinoma as well as oncocytoma were given radiation. These patients were kept under close followup for recurrence.

Conclusions : Pleomorphic adenoma when excised completely does not show tendency to recur. Adenoid cystic carcinoma in contrast has the tendency to recur. Satisfactory treatment of lacrimal gland tumors can be achieved after thoro

 

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