Pleomorphic Adenoma with Sarcomatous Change in a Lacrimal Gland.
10.3340/jkns.2015.57.6.473
- Author:
Kyoung Su SUNG
1
;
Dae Cheol KIM
;
Hee Bae AHN
;
Young Jin SONG
Author Information
1. Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea. ns2000@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Sarcoma;
Pleomorphic adenoma;
Lacrimal gland;
Malignant mixed tumor
- MeSH:
Adenoma, Pleomorphic*;
Aged;
Craniotomy;
Exophthalmos;
Humans;
Lacrimal Apparatus*;
Mixed Tumor, Malignant;
Radiotherapy, Adjuvant;
Sarcoma
- From:Journal of Korean Neurosurgical Society
2015;57(6):473-477
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 69-year-old man was referred with left exophthalmos. Computed tomographic (CT) findings detected a well-circumscribed mass in the left side of the intraorbital cavity. At that time, he refused the further evaluation and treatment. About three years later, the size of the mass had enlarged, and the patient's symptoms were getting worse. The mass was completely removed with frontotemporal craniotomy and superolateral orbitotomy. In operative findings, the mass had originated in the lacrimal gland and was well-encapsulated without invasion to the surrounding tissue. In the pathologic findings, the tumor consisted of pleomorphic adenoma with osteosarcomatous change of stromal components. Postoperatively, the adjuvant radiotherapy was done four weeks later. The patient's symptoms were improved. The pleomorphic adenoma with osteosarcomatous change is extremely rare and appropriate treatment is not clearly established. We would like to report this rare case with a review of the literature.
