title: Recurrent acute lymphoblastic leukemia presenting in the lacrimal gland.
abstract: A 14-year-old girl with a history of acute lymphoblastic leukemia presented with periorbital swelling of the right eyelid associated with enlargement of the lacrimal gland and cervical lymphadenopathy. Radiographic imaging showed diffuse enlargement and enhancement of the right lacrimal gland. The patient underwent an incisional biopsy of the lacrimal gland that showed atypical lymphocytes consistent with recurrent acute lymphoblastic leukemia. The lacrimal gland is a rare extramedullary site for recurrence of this disease.
authors.affiliation: Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX 77030, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Cardone
authors.forename: Michael T
authors.initials: MT
authors.lastname: Yen
authors.forename: Patricia
authors.initials: P
authors.lastname: Chévez-Barrios
authors.forename: Rod
authors.initials: R
authors.lastname: Foroozan
authors.forename: Kimberly G
authors.initials: KG
authors.lastname: Yen
mesh_terms: D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005134:Eye Neoplasms / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology*; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D009364:Neoplasm Recurrence, Local; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy