The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Pleomorphic adenoma of the orbital lacrimal gland

Photo by Professor Chua Chung Nen

 

A 45 year-old woman complained of progressive swelling of the right orbit. A CT scan revealed a mass in the lacrimal fossa causing non-axial proptosis. A lateral orbitotomy was performed to remove the mass en bloc. Histology revealed this to be a pleomorphic adenoma of the lacrimal gland.

 

 

Left Right non-axial proptosis with the globe displaced down and in.

 

Side-view of the orbit showing right non-axial proptosis.

 

CT scan shows a large lacrimal mass.

 

Coronal CT scan showing a superolateral orbital mass.

 

The mass was excised en bloc through a lateral orbitotomy.

 

The tumour was bisected.

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