J Korean Ophthalmol Soc > Volume 52(2); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(2):241-245.
DOI: https://doi.org/10.3341/jkos.2011.52.2.241    Published online February 15, 2011.
A Giant Pleomorphic Adenoma of Lacrimal Gland Involving the Palpebral Lobe Causing Severe Mechanical Ptosis.
Byung Ju Jung, Yang Kyeung Cho, Tae Yoon La
Department of Ophthalmology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. laty@catholic.ac.kr
심한 기계성 위눈꺼풀 처짐을 유발한 눈물샘 눈꺼풀엽의 거대 다형성 샘종 1예
정병주⋅조양경⋅나태윤
Department of Ophthalmology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea
Abstract
PURPOSE
To report a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe causing severe mechanical ptosis and visual field defect, which was removed successfully. CASE SUMMARY: An 82-year-old man visited our clinic with a large protruding mass on his left upper lid that had grown for approximately 10 years causing severe ptosis. Preoperative orbital CT showed a 2.3 x 2.0 cm sized large mass which was suspicious of hemangioma. The mass was completely excised through a lid crease incision. The histopathologic examination showed typical findings of pleomorphic adenoma. After the surgery, preoperative mechanical ptosis was completely resolved and during the 6 months of follow-up, there was no abnormality of tear secretion and evidence of tumor recurrence. CONCLUSIONS: The authors experienced a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe and resolved mechanical ptosis by complete removal of the tumor through a lid crease incision.
Key Words: Giant pleomorphic adenoma;Lacrimal gland palpebral lobe;Mechanical ptosis


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