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Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report
BACKGROUND: Mucoepidermoid carcinoma (MEC), a tumour previously believed to occur exclusively in the major salivary glands, was atypically recognized in the lacrimal gland. Few ophthalmologists are familiar with this rare neoplasm. AIM: This case is being reported for its rarity and the association...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067633/ https://www.ncbi.nlm.nih.gov/pubmed/35531581 http://dx.doi.org/10.4103/jwas.jwas_35_21 |
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author | Alfin, RJ Alada, JJ Okwudire-Ejeh, I Mosugu, O Ramyil, AV |
author_facet | Alfin, RJ Alada, JJ Okwudire-Ejeh, I Mosugu, O Ramyil, AV |
author_sort | Alfin, RJ |
collection | PubMed |
description | BACKGROUND: Mucoepidermoid carcinoma (MEC), a tumour previously believed to occur exclusively in the major salivary glands, was atypically recognized in the lacrimal gland. Few ophthalmologists are familiar with this rare neoplasm. AIM: This case is being reported for its rarity and the association with human immunodeficiency virus (HIV). CASE PRESENTATION: High-grade MEC of the lacrimal gland of the right eye was diagnosed in an orbital exenteration specimen of a 60-year-old HIV-positive man. He presented to the eye unit of a mission hospital in Jos, Nigeria with significant visual impairment in the right eye and a rapidly growing painful superolateral orbital mass. The tumour invaded and completely obliterated the anterior chamber. The lens, ciliary body, and iris were displaced posteriorly but were free from tumour infiltration. The tumour was exenterated, and the patient was subsequently referred for adjuvant radiotherapy. No evidence of recurrence or metastasis has been noted 15 months post-surgery. CONCLUSION: Early and decisive surgical intervention in a case of high-grade MEC of the lacrimal gland is crucial in forestalling local invasion as well as distant metastasis. Because of the possibility of local recurrence, adjuvant radiotherapy is required and close follow-up of the patient is warranted. |
format | Online Article Text |
id | pubmed-9067633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-90676332022-05-05 Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report Alfin, RJ Alada, JJ Okwudire-Ejeh, I Mosugu, O Ramyil, AV J West Afr Coll Surg Case Report BACKGROUND: Mucoepidermoid carcinoma (MEC), a tumour previously believed to occur exclusively in the major salivary glands, was atypically recognized in the lacrimal gland. Few ophthalmologists are familiar with this rare neoplasm. AIM: This case is being reported for its rarity and the association with human immunodeficiency virus (HIV). CASE PRESENTATION: High-grade MEC of the lacrimal gland of the right eye was diagnosed in an orbital exenteration specimen of a 60-year-old HIV-positive man. He presented to the eye unit of a mission hospital in Jos, Nigeria with significant visual impairment in the right eye and a rapidly growing painful superolateral orbital mass. The tumour invaded and completely obliterated the anterior chamber. The lens, ciliary body, and iris were displaced posteriorly but were free from tumour infiltration. The tumour was exenterated, and the patient was subsequently referred for adjuvant radiotherapy. No evidence of recurrence or metastasis has been noted 15 months post-surgery. CONCLUSION: Early and decisive surgical intervention in a case of high-grade MEC of the lacrimal gland is crucial in forestalling local invasion as well as distant metastasis. Because of the possibility of local recurrence, adjuvant radiotherapy is required and close follow-up of the patient is warranted. Wolters Kluwer - Medknow 2020 2022-03-05 /pmc/articles/PMC9067633/ /pubmed/35531581 http://dx.doi.org/10.4103/jwas.jwas_35_21 Text en Copyright: © 2022 Journal of West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Alfin, RJ Alada, JJ Okwudire-Ejeh, I Mosugu, O Ramyil, AV Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title | Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title_full | Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title_fullStr | Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title_full_unstemmed | Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title_short | Mucoepidermoid Carcinoma of the Lacrimal Gland: A Case Report |
title_sort | mucoepidermoid carcinoma of the lacrimal gland: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067633/ https://www.ncbi.nlm.nih.gov/pubmed/35531581 http://dx.doi.org/10.4103/jwas.jwas_35_21 |
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