Unusual Presentation of Lacrimal Gland Pleomorphic Adenoma

• Main Authors: Shailesh Mani Pokharel, Ashish Raj Pant, Badri Prasad Badhu, Punam Lavaju, Bhuwan Govinda Shrestha, Meenu Agarwal
• Format: Article
• Language: English
• Published: Nepal Medical Association 2014-09-01
• Series: Journal of Nepal Medical Association
• Subjects: lacrimal gland pleomorphic adenoma; orbitotomy; proptosis; pseudotumor.
• Online Access: http://jnma.com.np/jnma/index.php/jnma/article/view/2723

The pleomorphic adenoma of lacrimal gland presents as a painless, progressive, slowly growing supero-temporal swelling with variable proptosis. This tumor is usually found in adults and extremely rare in teenage. We report a case of a 15-year-old boy with pleomorphic adenoma of lacrimal gland which mimicked pseudotumor of orbit due to its presentation as an orbital inflammatory disease and the age distribution. Neuroimaging also suggested pseudotumor and oral steroid was started. But, there was no improvement on steroids and ultrasound guided Fine Needle Aspiration Cytology (FNAC) was performed which suggested Pleomorphic adenoma of the lacrimal gland. En-bloc excision of the mass through antero-lateral orbitotomy was done with satisfactory final outcome The histopathological evaluation was consistent with pleomorphic adenoma of the lacrimal gland. Keywords: lacrimal gland pleomorphic adenoma; orbitotomy; proptosis; pseudotumor.