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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Atypical presentation of lacrimal gland pleomorphic adenoma with necrotic foci
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Vol. 90. Issue 9.
Pages 432-434 (September 2015)
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Vol. 90. Issue 9.
Pages 432-434 (September 2015)
Short communication
Atypical presentation of lacrimal gland pleomorphic adenoma with necrotic foci
Presentación atípica de un adenoma pleomorfo de la glándula lagrimal con focos de necrosis
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A. Casado
Corresponding author
casadorojo@hotmail.es

Corresponding author.
, V. Sánchez-Gutiérrez, C. Barrancos, A. Albandea
Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Abstract
Clinical case

The case is presented of 48 year-old male complaining of a painful left upper eyelid and swelling of the lacrimal gland, with a suspicion of dacryoadenitis. Removal was decided after dacriops suspicion. Histopathology diagnosed a pleomorphic adenoma of the lacrimal gland, with areas of necrosis.

Discussion

Lacrimal gland pleomorphic adenoma usually presents as a slowly progressive painless mass. However, painful presentation in this case might be related with necrotic foci found in the histopathological examination. Although not described in lacrimal glands, pleomorphic adenomas have already been reported in the major and minor salivary glands, and these patients also presented with a painful mass.

Keywords:
Pleomorphic adenoma
Lacrimal gland
Necrosis
Painful mass
Dacryops
Salivary glands
Resumen
Caso clínico

Varón de 48 años que acude por dolor en región periorbitaria superior izquierda, con sospecha de dacrioadenitis. Tras mejoría clínica y sospecha de dacriops se decide extirpar dicha lesión. La anatomía patológica diagnostica un adenoma pleomorfo de la glándula lagrimal con áreas de necrosis.

Discusión

La forma de presentación de un adenoma pleomorfo suele ser asintomática. Sin embargo, la presencia de dolor en este caso puede estar relacionada con la necrosis observada en el estudio histológico. Aunque no está descrito en glándulas lagrimales, sí que existen referencias de necrosis de adenomas pleomorfos de glándulas salivares con dolor en la presentación.

Palabras clave:
Adenoma pleomorfo
Glándula lagrimal
Necrosis
Dolor
Dacriops
Glándulas salivares

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