Pleomorphic adenoma arising from the palpebral lobe of the lacrimal gland in a patient with thyroid-associated ophthalmopathy

The Journal of Craniofacial Surgery
Jianhua YanTao Shen

Abstract

To report a rare coexistence of pleomorphic adenoma arising from the palpebral lobe of the lacrimal gland and thyroid-associated ophthalmopathy in a Chinese patient. Case report of clinical features and imaging findings, orbital surgery, and histopathologic examination. A Chinese woman (48 years old) with hyperthyroidism showed a gradually growing mass in the lateral region of the left upper eyelid that was present for 4 years and bilateral proptosis for 5 years. There was a slightly lower eyelid retraction in both eyes. Proptosis was 20 mm in the right eye and 22 mm in the left. A well-defined, nontender mass was palpable in the lateral upper eyelid of the left eye. Ultrasonography and computed tomography revealed a rounded homogenous mass measuring 14.1 × 13.2 mm in the lateral upper eyelid of the left eye and enlarged superior, medial, and inferior recti muscles in both eyes. At surgery, a grayish-white round mass was observed after removal of the palpebral lobe of the lacrimal gland. The histopathological diagnosis was pleomorphic adenoma of the lacrimal gland. The coexistence of a pleomorphic adenoma of the lacrimal gland and thyroid-associated ophthalmopathy may indicate a pleomorphic adenoma likely due to an unknown auto...Continue Reading

References

Mar 22, 2013·The American Journal of the Medical Sciences·Shih-Kung HuangFenq-Lih Lee
Jan 23, 2014·Ophthalmic Plastic and Reconstructive Surgery·Chad M BinghamJennifer A Sivak-Callcott
Mar 22, 2014·Investigative Ophthalmology & Visual Science·Yao Wang, Terry J Smith
Jul 6, 2014·Investigative Ophthalmology & Visual Science·Danping HuangYuxiang Mao

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Citations

Feb 20, 2016·Survey of Ophthalmology·Frederick A JakobiecRalph C Eagle
May 8, 2020·Ophthalmic Plastic and Reconstructive Surgery·Kaveh Vahdani, Geoffrey E Rose

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