A Giant Pleomorphic Adenoma of Lacrimal Gland Involving the Palpebral Lobe Causing Severe Mechanical Ptosis.
10.3341/jkos.2011.52.2.241
- Author:
Byung Ju JUNG
1
;
Yang Kyeung CHO
;
Tae Yoon LA
Author Information
1. Department of Ophthalmology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. laty@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Giant pleomorphic adenoma;
Lacrimal gland palpebral lobe;
Mechanical ptosis
- MeSH:
Adenoma, Pleomorphic;
Aged, 80 and over;
Follow-Up Studies;
Hemangioma;
Humans;
Lacrimal Apparatus;
Orbit;
Tears;
Visual Fields
- From:Journal of the Korean Ophthalmological Society
2011;52(2):241-245
- CountryRepublic of Korea
- Language:Korean
-
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.
