Lacrimal gland tumor presenting with proptosis and retinal folds

Lacrimal gland tumor presenting with proptosis and retinal folds

A 47-year-old male patient, who complained of a small, painless, progressively enlarging lesion in the temporal of the orbit, was examined for ophthalmologic findings. Visual acuity was about ½ meters in the right eye and 20/20 fingers in the left eye. Direct and indirect pupillary reactions were normal, there was limitation in ocular movements. The amount of ptosis was 35 mm in the right and 20 mm in the left eye. There was macular pigment epithelial atrophy and chorioretinal folds in the temporal quadrant of the right fundus. In the pathological examination, the mass was evaluated as pleomorphic adenocarcinoma of the lacrimal gland. Although pleomorphic adenoma (benign mixed tumors) is an encapsulated tumor of the lacrimal gland with an excellent prognosis, it may undergo malignant transformation in rare cases.

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