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Optic Disc Pyogenic Granuloma.
Eduardo F Marback1, Luciano Espinheira Fonseca1, Roberto L Marback1
1Federal University of Bahia, Salvador da Bahia, Brazil.
Ocular Oncology and Pathology
|September 5, 2017
Summary
This case report details a rare instance of adenoid cystic carcinoma originating in the lacrimal gland. The patient presented with an asymptomatic orbital mass and liver metastases, highlighting an unusual clinical presentation of this cancer.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Adenoid cystic carcinoma (ACC) is a rare malignancy that can occur in various organs, including the lacrimal gland.
- Orbital ACC is uncommon, and its presentation with distant metastases at diagnosis is exceedingly rare.
Purpose of the Study:
- To report a unique case of adenoid cystic carcinoma of the lacrimal gland.
- To describe its initial presentation with asymptomatic orbital mass and isolated liver metastases.
Main Methods:
- Case report detailing clinical, radiographic, and histopathologic findings.
- Ophthalmic examination, orbital imaging, and biopsy of orbital and liver lesions.
Main Results:
- A 72-year-old female with an incidental orbital mass and multiple liver lesions.
- Histopathology confirmed primary adenoid cystic carcinoma of the lacrimal gland with hepatic metastases.
- Ocular findings included proptosis and deficits in eye movement.
Conclusions:
- This case represents a rare presentation of lacrimal gland adenoid cystic carcinoma.
- The initial asymptomatic orbital tumor with isolated liver metastases is highly unusual.
- This finding expands the known spectrum of ACC metastatic patterns.
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