title: Comprehensive management of a rare carcinoma ex pleomorphic adenoma of the lacrimal gland with a modified lateral orbitotomy access osteotomy. A case report.
abstract: BACKGROUND
  Complete management of extraconal ocular tumors may require the joint efforts of a maxillofacial surgeon to provide access and an ophthalmic surgeon to completely excise the lesion. Pleomorphic adenoma is the most common benign tumor of the lacrimal glands, representing around 12% of the lacrimal fossa lesions. They may however undergo malignant changes. Carcinoma ex pleomorphic adenoma (CXPA), a type of malignant mixed tumor of the lacrimal gland has been rarely reported.
  
  
  METHODS
  We report a case of CXPA of the lacrimal gland in a 35-year-old male. He was managed by a modified lateral orbitotomy access osteotomy with complete removal of the lesion and showed postoperative uneventful recovery.
  
  
  CONCLUSIONS
  Accurate clinical diagnosis of a neoplasm in the orbital cavity is important for correct therapeutic management. This paper emphasises on the comprehensive management of these lesions with a special emphasis on diagnosis and surgical technique.
authors: Department of Oral and Maxillofacial Surgery, Rural Dental College, Loni, India. kini77@mailcity.com
authors: Yogesh K
authors: YK
authors: Kini
authors: Rajshekhar
authors: R
authors: Halli
authors: Somen
authors: S
authors: Mishra
authors: Jitendra V
authors: JV
authors: Kalburge
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008949:Adenoma, Pleomorphic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D003299:Cooperative Behavior; D003937:Diagnosis, Differential; D005134:Eye Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D033183:Interdisciplinary Communication; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D009915:Orbit / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D035583:Rare Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed