A Case of Pleomorphic Adenocarcinoma (Malignant Mixed Tumor) of the Lacrimal Gland

ABSTRACT

Pleomorphic adenocarcinoma of the lacrimal gland is a rare malignant epithelial tumor. It is commonly metastasize to regional lymph node at early stage and sometimes to the lungs and bone. A 64-year-old man visited with complaints of progressive orbital protrusion and visual disturbance on his left eye for five months. CT scans demonstrated a huge mass on the superotemporal portion of the left orbit. Histopathological diagnosis of pleomorphic adenocarcinoma of the lacrimal gland was made. Bone scintigram and chest CT scans demonstrated distant metastases to the bone and lungs. We report a case of malignant mixed tumor of the lacrimal gland with mltiple distance metastases.