Unusual Presentation of Lacrimal Gland Pleomorphic Adenoma

  • Shailesh Mani Pokharel Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
  • Ashish Raj Pant Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
  • Badri Prasad Badhu Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
  • Punam Lavaju Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
  • Bhuwan Govinda Shrestha Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
  • Meenu Agarwal Department of Pathology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Keywords: lacrimal gland pleomorphic adenoma; orbitotomy; proptosis; pseudotumor.

Abstract

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.
How to Cite
Pokharel, S., Pant, A., Badhu, B., Lavaju, P., Shrestha, B., & Agarwal, M. (1). Unusual Presentation of Lacrimal Gland Pleomorphic Adenoma. Journal of Nepal Medical Association, 52(195), 949-951. https://doi.org/10.31729/jnma.2723
Section
Case Reports