Surgical management of malignant tumors of the lacrimal gland.
Malignant lacrimal gland tumors are rare but serious and life-threatening neoplasms. Patients frequently present with symptoms of less than 1 year duration, often demonstrating rapid change during the 6 months preceding diagnosis. Pain and periorbital sensory changes are also reported by patients. Radiographically, bone destruction is a strong indication of a lacrimal gland malignancy as is ophthalmoplegia. Radical three-dimensional resection utilizing a cranioorbital approach offers the best chance for total tumor removal. Immediate reconstruction with a scalp flap is essential for primary healing, as well as esthetic balance of the orbital region.
D000230:Adenocarcinoma / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D005134:Eye Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008499:Medical Records; D009364:Neoplasm Recurrence, Local; D013524:Surgical Flaps; D013997:Time Factors