Slow but Malignant: Adenoid cystic carcinoma of lacrimal gland� A Case report

Dr.Preeti Rawat; Dr.Vinanti Kangale; Dr.Shweta Walia; Dr.Manushree Gautam

Volume : VI, Issue : VII, July - 2016

Slow but Malignant: Adenoid cystic carcinoma of lacrimal gland� A Case report

Dr. Preeti Rawat, Dr. Vinanti Kangale, Dr. Shweta Walia, Dr. Manushree Gautam

Abstract :

Introduction– Adenoid cystic carcinoma is a epithelial malignancy of lacrimal gland which presents with painful non–axial proptosis and associated with bone destruction. It occurs mostly in 4–6th decade of life with female preponderance.Purpose: To analyze the clinical profile of a painless non–axial proptosis & document a clinico–pathological picture.Material and methods: We present a case of 3rd decade young adult female who presented with gradually increasing painless abaxial proptosis of RE since two and half years. Her MRI– findings revealed soft tissue mass in right orbital fossa with no perineural invasion suggesting benign soft tissue mass. She underwent Lateral orbitotomy and tumor debulking procedure followed by post–operative radiotherapy. Histopathological analysis revealed basaloid cells with criiform pattern which is hallmark of ACC.Conclusion– Though the presentation and imaging studies favour benign pathology, this case shows the importance of histopathological analysis which helped us in confirming the diagnosis of ACC.