Pleomorphic adenoma of lacrimal gland: Surgical management via lateral orbitotomy
Dimitrios DELIGIANNIDIS, Vasileios BANIKAS, Dimitrios TATSIS, Christos MAGOPOULOS
Department of Oral and Maxillofacial Surgery, 424 General Military Hospital of Thessaloniki, Greece (Head: Dr. C. Magopoulos)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 3, 127-133
SUMMARY: Pleomorphic adenoma of the lacrimal gland is a rare benign tumor of epithelial origin. Its presence can cause functional and esthetic considerations, and it has the rare ability of malignant transformation. The preoperative biopsy is a controversial issue. The surgical management of this tumor is the treatment of choice. Different approaches for excision of intraorbital tumors have been published, depending on the exact tumor site and size. We present a case of a pleomorphic adenoma of the lacrimal gland and we describe the surgical technique followed for its excision.
KEY WORDS: Pleomorphic adenoma, lacrimal gland, lateral orbitotomy.
REFERENCES
Andreasen S, Esmaeli B, von Holstein SL, Mikkelsen LH, Rasmussen PK, Heegaard S: An Update on Tumors of the Lacrimal Gland, Asia-Pac J Ophthalmol 6:159–172, 2017
Arai H, Sato K, Katsuta T, Rhoton A: Lateral approach to intraorbital lesions: Anatomic and surgical considerations. Neurosurgery 39: 1157–1163, 1996
Berke RN: A mοdified Krοnlein operation. Trans Am Οphthalmol Soc 51:193-231, 1953
Bonavolontà G, Strianese D, Grassi P, Comune C, Tranfa F, Uccello G, Iuliano A: An Analysis of 2,480 Space-Occupying Lesions of the Orbit From 1976 to 2011. Ophthal Plast Reconstr Surg 29:79–86, 2013
Claros P, Choffor-Nchinda E, Lopez-Fortuny M, Sobolewska AZ, Claros A: Lacrimal gland pleomorphic adenoma: a review of 52 cases, 15- year experience. Acta Otolaryngol. 139(1): 100-104, 2019
Currie ZI, Rose GE: Long-term risk of recurrence after intact excision of pleomorphic adenomas of the lacrimal gland. Arch Ophthalmol 125: 1643–1646, 2007
Font RL, Gamel JW: Epithelial tumors of the lacrimal gland: an analysis of 265 cases. In: Jakobiec FA (ed). Ocular and Adnexal Tumors. Aesculapius: Birmingham, AL, pp 787–805, 1978
Halli RC, Mishra S, Kini YK, Kharkar VR, Hebbale MA: Modified Lateral Orbitotomy Approach: A Novel Technique in the Management of Lacrimal Gland Tumors. The Journal of Craniofacial Surgery 22(3):1035-1038, 2011
Khan A, Varvares M: Traditional Approaches to the Orbit. Otolaryngol Clin N Am 39:895-909, 2006
Kumar LK, Vinod M, Varun Menon P: Lateral orbital approach: Gateway to intraorbital lesions. Natl J Maxillofac Surg. 5(2) 217-220, 2014 Kumar S, Kurien N, Vinod M, Menon V, Khalam S: A Sidewalk into the Lateral Orbit. Case Studies in Surgery. 1 (1), 2015
Lai T, Prabhakaran VC, Malhotra R, et al: Pleomorphic adenoma of the lacrimal gland: is there a role for biopsy? Eye (Lond). 23:2–6, 2009 Leone C, Wissinger J: Surgical approach to diseases of the orbital apex. Ophthalmology. 95:391–7, 1988
Moe K, Jothi S, Stern R, Gassner H: Lateral Retrocanthal Orbitotomy: A Minimally Invasive, Canthus Sparing Approach. Arch Facial Plast Surg. 9(6):419-426, 2007
Razek AA, Elkhamary S, Mousa A: Differentiation between benign and malignant orbital tumors at 3-T diffusion MR-imaging. Neuroradi- ology 53:517–522, 2011
Rose GE, Wright JE: Pleomorphic adenoma of the lacrimal gland. Br J Ophthalmol 76: 395–400, 1992
Rose GE: To crash or not to crash? Probability in the management of benign lacrimal gland tumours. Eye 23:1625–1628, 2009
Seiichiro M, Yoshinori H, Kentaro H, Naokatu S: Superolateral Orbitotomy for Intraorbital Tumors: Comparison with the Conventional Approach. J Neurol Surg B 77:473–478, 2016
Shields JA, Shields CL, Scartozzi R: Survey of 1264 patients with orbital tumors and simulating lesions: the 2002 Montgomery Lecture, part 1. Ophthalmol 111:997–1008, 2004
Signorelli F, Anile C, Rigante M, Paludetti G, Pompucci A, Mangiola Α: Endoscopic treatment of orbital tumors. World J Clin Cases. March 16; 3(3): 270-274, 2016
Vaidhyanath R, Kirke R, Brown L, et al: Lacrimal fossa lesions: pictorial review of CT and MRI features. Orbit. 27:410–418, 2008
von Holstein SL, Coupland SE, Briscoe D, et al: Epithelial tumours of the lacrimal gland: a clinical, histopathological, surgical and oncological survey. Acta Ophthalmol Scand. 91:195–206, 2013
von Holstein SL, Therkildsen MH, Prause JU, et al: Lacrimal gland le- sions in Denmark between 1974 and 2007. Acta Ophthalmol 91:349–354, 2013
Weis E, Rootman J, Joly TJ, Berean KW, Al-Katan HM, Pasternak S, Bonavolonta G, Strianese D, Saeed P, Feldman KA, Vangveer- avong S, Lapointe JS, White VA: Epithelial lacrimal gland tumors: pathologic classification and current understanding. Arch Ophthalmol 127(8): 1016-1028, 2009
Wright JE, Rose GE, Garner A: Primary malignant neoplasms of the lacrimal gland. Br J Ophthalmol. 76:401–407, 1992
Young SM, Kim YD, Shin HJ, et al: Lacrimal gland pleomorphic adenoma and malignant epithelial tumours: clinical and imaging dif- ferences. Br J Ophthalmol. 103(2): 264-268, 2019
Department of Oral and Maxillofacial Surgery, 424 General Military Hospital of Thessaloniki, Greece (Head: Dr. C. Magopoulos)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 3, 127-133
SUMMARY: Pleomorphic adenoma of the lacrimal gland is a rare benign tumor of epithelial origin. Its presence can cause functional and esthetic considerations, and it has the rare ability of malignant transformation. The preoperative biopsy is a controversial issue. The surgical management of this tumor is the treatment of choice. Different approaches for excision of intraorbital tumors have been published, depending on the exact tumor site and size. We present a case of a pleomorphic adenoma of the lacrimal gland and we describe the surgical technique followed for its excision.
KEY WORDS: Pleomorphic adenoma, lacrimal gland, lateral orbitotomy.
REFERENCES
Andreasen S, Esmaeli B, von Holstein SL, Mikkelsen LH, Rasmussen PK, Heegaard S: An Update on Tumors of the Lacrimal Gland, Asia-Pac J Ophthalmol 6:159–172, 2017
Arai H, Sato K, Katsuta T, Rhoton A: Lateral approach to intraorbital lesions: Anatomic and surgical considerations. Neurosurgery 39: 1157–1163, 1996
Berke RN: A mοdified Krοnlein operation. Trans Am Οphthalmol Soc 51:193-231, 1953
Bonavolontà G, Strianese D, Grassi P, Comune C, Tranfa F, Uccello G, Iuliano A: An Analysis of 2,480 Space-Occupying Lesions of the Orbit From 1976 to 2011. Ophthal Plast Reconstr Surg 29:79–86, 2013
Claros P, Choffor-Nchinda E, Lopez-Fortuny M, Sobolewska AZ, Claros A: Lacrimal gland pleomorphic adenoma: a review of 52 cases, 15- year experience. Acta Otolaryngol. 139(1): 100-104, 2019
Currie ZI, Rose GE: Long-term risk of recurrence after intact excision of pleomorphic adenomas of the lacrimal gland. Arch Ophthalmol 125: 1643–1646, 2007
Font RL, Gamel JW: Epithelial tumors of the lacrimal gland: an analysis of 265 cases. In: Jakobiec FA (ed). Ocular and Adnexal Tumors. Aesculapius: Birmingham, AL, pp 787–805, 1978
Halli RC, Mishra S, Kini YK, Kharkar VR, Hebbale MA: Modified Lateral Orbitotomy Approach: A Novel Technique in the Management of Lacrimal Gland Tumors. The Journal of Craniofacial Surgery 22(3):1035-1038, 2011
Khan A, Varvares M: Traditional Approaches to the Orbit. Otolaryngol Clin N Am 39:895-909, 2006
Kumar LK, Vinod M, Varun Menon P: Lateral orbital approach: Gateway to intraorbital lesions. Natl J Maxillofac Surg. 5(2) 217-220, 2014 Kumar S, Kurien N, Vinod M, Menon V, Khalam S: A Sidewalk into the Lateral Orbit. Case Studies in Surgery. 1 (1), 2015
Lai T, Prabhakaran VC, Malhotra R, et al: Pleomorphic adenoma of the lacrimal gland: is there a role for biopsy? Eye (Lond). 23:2–6, 2009 Leone C, Wissinger J: Surgical approach to diseases of the orbital apex. Ophthalmology. 95:391–7, 1988
Moe K, Jothi S, Stern R, Gassner H: Lateral Retrocanthal Orbitotomy: A Minimally Invasive, Canthus Sparing Approach. Arch Facial Plast Surg. 9(6):419-426, 2007
Razek AA, Elkhamary S, Mousa A: Differentiation between benign and malignant orbital tumors at 3-T diffusion MR-imaging. Neuroradi- ology 53:517–522, 2011
Rose GE, Wright JE: Pleomorphic adenoma of the lacrimal gland. Br J Ophthalmol 76: 395–400, 1992
Rose GE: To crash or not to crash? Probability in the management of benign lacrimal gland tumours. Eye 23:1625–1628, 2009
Seiichiro M, Yoshinori H, Kentaro H, Naokatu S: Superolateral Orbitotomy for Intraorbital Tumors: Comparison with the Conventional Approach. J Neurol Surg B 77:473–478, 2016
Shields JA, Shields CL, Scartozzi R: Survey of 1264 patients with orbital tumors and simulating lesions: the 2002 Montgomery Lecture, part 1. Ophthalmol 111:997–1008, 2004
Signorelli F, Anile C, Rigante M, Paludetti G, Pompucci A, Mangiola Α: Endoscopic treatment of orbital tumors. World J Clin Cases. March 16; 3(3): 270-274, 2016
Vaidhyanath R, Kirke R, Brown L, et al: Lacrimal fossa lesions: pictorial review of CT and MRI features. Orbit. 27:410–418, 2008
von Holstein SL, Coupland SE, Briscoe D, et al: Epithelial tumours of the lacrimal gland: a clinical, histopathological, surgical and oncological survey. Acta Ophthalmol Scand. 91:195–206, 2013
von Holstein SL, Therkildsen MH, Prause JU, et al: Lacrimal gland le- sions in Denmark between 1974 and 2007. Acta Ophthalmol 91:349–354, 2013
Weis E, Rootman J, Joly TJ, Berean KW, Al-Katan HM, Pasternak S, Bonavolonta G, Strianese D, Saeed P, Feldman KA, Vangveer- avong S, Lapointe JS, White VA: Epithelial lacrimal gland tumors: pathologic classification and current understanding. Arch Ophthalmol 127(8): 1016-1028, 2009
Wright JE, Rose GE, Garner A: Primary malignant neoplasms of the lacrimal gland. Br J Ophthalmol. 76:401–407, 1992
Young SM, Kim YD, Shin HJ, et al: Lacrimal gland pleomorphic adenoma and malignant epithelial tumours: clinical and imaging dif- ferences. Br J Ophthalmol. 103(2): 264-268, 2019
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