Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland-Case Report-
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- MIYAZAKI Takeshi
- Department of Neurosurgery, Shimane University School of Medicine
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- YAMASAKI Toshiki
- Department of Neurosurgery, Shimane University School of Medicine
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- MORITAKE Kouzo
- Department of Neurosurgery, Shimane University School of Medicine
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- MATSUMOTO Yoshifumi
- Department of Neurosurgery, Shimane University School of Medicine
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- AKIYAMA Yasuhiko
- Department of Neurosurgery, Shimane University School of Medicine
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- NAGAI Hidemasa
- Department of Neurosurgery, Shimane University School of Medicine
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- YAMAMOTO Yoshiaki
- Department of Neurosurgery, Shimane University School of Medicine
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- KODAMA Tatsuo
- Department of Ophthalmology, Shimane University School of Medicine
書誌事項
- タイトル別名
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- —Case Report—
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A 72-year-old female complained of acute pain on left eye movement followed by progressive exophthalmos. Neuroimaging revealed a large well-demarcated lesion consisting of solid and cystic parts, as well as bone destruction and hemorrhage, within the left orbital cavity. The preoperative diagnosis was pleomorphic adenoma with or without malignant transformation, or cavernous angioma. En bloc excision including adjacent tissues was planned to resolve the progressive symptoms and to obtain a histological diagnosis. The transcranial route was chosen since tumor invasion to the cranial base was possible. The histological diagnosis was pleomorphic adenoma. Pathological and preoperative radiological examinations indicated that repeated intratumoral hemorrhage had caused the orbital bone destruction and acute orbital pain. Neoplasms should be differentiated from a wide spectrum of other possible pathologies. Accurate clinical diagnosis of neoplasm in the orbital cavity is important for correct therapeutic management. Malignancy is generally suspected if painful and progressive signs and symptoms are associated with an orbital mass lesion. The present case suggests that pleomorphic adenoma should also be considered in the differential diagnosis. The therapeutic strategy for lacrimal gland tumors remains controversial, so a flexible management approach is required.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 45 (8), 407-410, 2005
一般社団法人 日本脳神経外科学会
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詳細情報
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- CRID
- 1390282680026974976
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- NII論文ID
- 110002320219
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- PubMed
- 16127259
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 使用不可