Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature

Lacrimal gland neoplasms comprise up to 18% of all orbital masses clinically and histologically. Much of our current core knowledge regarding lacrimal gland tumors stems from prior study of their more common counterparts, the salivary glands. The prognosis for each lacrimal gland tumor is contingent...

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Main Authors: Vamsee K. Neerukonda, Bryant Carruth, Maria Del Valle Estopinal
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2020/6482837
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author Vamsee K. Neerukonda
Bryant Carruth
Maria Del Valle Estopinal
author_facet Vamsee K. Neerukonda
Bryant Carruth
Maria Del Valle Estopinal
author_sort Vamsee K. Neerukonda
collection DOAJ
description Lacrimal gland neoplasms comprise up to 18% of all orbital masses clinically and histologically. Much of our current core knowledge regarding lacrimal gland tumors stems from prior study of their more common counterparts, the salivary glands. The prognosis for each lacrimal gland tumor is contingent upon proper clinical evaluation and ultimately the histopathologic diagnosis. We describe a case of an invasive carcinoma ex-pleomorphic adenoma (Ca-ex-PA) with a cystadenocarcinoma component arising from the lacrimal gland in the absence of any previously diagnosed pleomorphic adenoma (benign mixed tumor) or prior incisional surgery. This case illustrates the importance of the histopathologic assessment including immunohistochemistry and genetic testing to narrow a differential diagnosis and potentially aid or guide therapy in the future. Our finding suggests that carcinoma of the lacrimal gland may be derived from previously undiagnosed and perhaps even subclinical pleomorphic adenoma.
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institution Kabale University
issn 2090-6781
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publishDate 2020-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-762cf87de0b740cb9b608136b377279a2025-02-03T06:46:39ZengWileyCase Reports in Pathology2090-67812090-679X2020-01-01202010.1155/2020/64828376482837Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the LiteratureVamsee K. Neerukonda0Bryant Carruth1Maria Del Valle Estopinal2Department of Ophthalmology, State University of New York Upstate Medical University, Syracuse, New York, USADepartment of Ophthalmology, State University of New York Upstate Medical University, Syracuse, New York, USADepartment of Ophthalmology, State University of New York Upstate Medical University, Syracuse, New York, USALacrimal gland neoplasms comprise up to 18% of all orbital masses clinically and histologically. Much of our current core knowledge regarding lacrimal gland tumors stems from prior study of their more common counterparts, the salivary glands. The prognosis for each lacrimal gland tumor is contingent upon proper clinical evaluation and ultimately the histopathologic diagnosis. We describe a case of an invasive carcinoma ex-pleomorphic adenoma (Ca-ex-PA) with a cystadenocarcinoma component arising from the lacrimal gland in the absence of any previously diagnosed pleomorphic adenoma (benign mixed tumor) or prior incisional surgery. This case illustrates the importance of the histopathologic assessment including immunohistochemistry and genetic testing to narrow a differential diagnosis and potentially aid or guide therapy in the future. Our finding suggests that carcinoma of the lacrimal gland may be derived from previously undiagnosed and perhaps even subclinical pleomorphic adenoma.http://dx.doi.org/10.1155/2020/6482837
spellingShingle Vamsee K. Neerukonda
Bryant Carruth
Maria Del Valle Estopinal
Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
Case Reports in Pathology
title Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
title_full Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
title_fullStr Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
title_full_unstemmed Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
title_short Invasive Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with a Cystadenocarcinoma Component: A Case Report and Review of the Literature
title_sort invasive carcinoma ex pleomorphic adenoma of the lacrimal gland with a cystadenocarcinoma component a case report and review of the literature
url http://dx.doi.org/10.1155/2020/6482837
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