[Lacrimal adenocarcinoma and anophtalmos]

The classical symptoms of orbital tumors are modified in the event of an anophthalmic socket.

We report a case of primary malignant neoplasm of the lacrimal gland in an enucleated 70-year-old women.

Patients with an anophthalmic orbit often present postenucleation socket syndrome: problems of tolerance and rocking of the ocular prothesis, enophthalmos, ptosis, lower eyelid ectropion. Development of a malignant tumor of the lacrimal gland is however exceptional. An oversized lacrimal gland is suggestive of tumor development. Rigorous clinical and radiological follow-up (CT, MRI) is essential. We discuss diagnostic and therapeutic aspects including the type of exenteration, radiotherapy, and reconstruction technique.