The Clinical and Histopathologic Review of Lacrimal Gland Tumors

ABSTRACT

We performed retrospective review of charts in 26 patients who had been confirmed to have lacrimal gland tumor at korea University Guro hospital from March, 1984 to March, 1996 for evaluating the correlation between clinical findings and histopathologic diagnosis. This study was focused on incidence of lacrimal gland tumors, age, sex, symptoms and signs and ists duratio, radiologic findings, presence and location of metastases, and prognosis. There were 6 cases of benign mixed tumor(23%), 6 cases of malignant mixed tumor(23%), 4 cases of adenoid cystic carcinoma(15.4%), 4 cases of inflammatory pseudotumor(15.4%) and 6 cases of pseudolymphoma(23%). The characteristics of clinical findings of malignant lacrimal gland tumor were pain (70%), the duration of symptom less than 6 months (90%) and bony destruction detected in radiologic findings(75% of malignant mixed tumor and 50% of adenoid cystic carcinoma). All cases of malignant tumor patients had local or distant metastasis. Among them, 2 cases of malignant mixed tumor and 2 cases of adenoid cystic carcinoma had pulmonary metastasis and were died of pulmonary metastasis. This study showed good correlations between clinical diagnosis and pathologic diagnosis, and will help in making early diagnosis and treatment of malignant lacrimal gland tumors.