C avernous Sinus Involvement of Adenoid Cystic Carcinoma of Lacrimal Gland.

Chang, Yoon Hee; Lee, Seung Hyuck; Jang, Jae Woo; Lee, Sang Yeul

Original Article

Journal of the Korean Ophthalmological Society 2000;41(4):1006-1011.
Published online April 1, 2000.

C avernous Sinus Involvement of Adenoid Cystic Carcinoma of Lacrimal Gland.

Yoon Hee Chang, Seung Hyuck Lee, Jae Woo Jang, Sang Yeul Lee

¹The Institute of Vision Research, College of Medicine, Yonsei University, Seoul, Korea.
²Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.
³Department of Ophthalmology, College of Medicine, Ajou University, Suwon, Korea.

해면정맥동을 침범한 누선의 선양낭성암 1 예

장윤희(Yoon Hee Chang),이승혁(Seung Hyuck Lee),장재우(Jae Woo Jang),이상렬(Sang Yeul Lee)

Abstract

Adenoid cystic carcinoma is slow growing, but locally aggressive and thus prone to recurrence with late distant metastasis. Intracranial involvement of adenoid cystic carcinoma is rare but most of theses cases are thought to extend directly or by perineural spread from lesions in adjacent structures, such as the paranasal sinuses, nasopharynx, salivary glands, or from the lacrimal glands. And hematogenous metastasis is rare. Adenoid cystic carcinoma of the lacrimal glands is known to comprise 30% of epithelial neoplasms of the lacrimal gland, but its cavernous sinus involvement with perineural extension has never been reported in Korea. A cavernous sinus mass was found in a 43-year-old man presenting ophthalmoplegia and facial palsy. The mass was later diagnosed as metastatic adenoid cystic carcinoma of the lacrimal gland, whose size was decreased after radiation. Thus we report the case with a brief review of literature.

Key Words: Adenoid cystic carcinoma;Cavernous sinus;Lacrimal gland;Perineural spread