title: [Atypical presentation of lacrimal gland pleomorphic adenoma with necrotic foci].
abstract: METHODS
  The case is presented of 48 year-old male complaining of a painful left upper eyelid and swelling of the lacrimal gland, with a suspicion of dacryoadenitis. Removal was decided after dacriops suspicion. Histopathology diagnosed a pleomorphic adenoma of the lacrimal gland, with areas of necrosis.
  
  
  CONCLUSIONS
  Lacrimal gland pleomorphic adenoma usually presents as a slowly progressive painless mass. However, painful presentation in this case might be related with necrotic foci found in the histopathological examination. Although not described in lacrimal glands, pleomorphic adenomas have already been reported in the major and minor salivary glands, and these patients also presented with a painful mass.
authors.affiliation: Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: casadorojo@hotmail.es.
authors.forename: A
authors.initials: A
authors.lastname: Casado
authors.affiliation: Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: V
authors.initials: V
authors.lastname: Sánchez-Gutiérrez
authors.affiliation: Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: Barrancos
authors.affiliation: Departamento de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Albandea
mesh_terms: D008949:Adenoma, Pleomorphic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003607:Dacryocystitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000209:etiology; D005134:Eye Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D058447:Eye Pain / Q000209:etiology; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology; D007766:Lacrimal Apparatus Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009336:Necrosis
keywords: Adenoma pleomorfo; Dacriops; Dacryops; Dolor; Glándula lagrimal; Glándulas salivares; Lacrimal gland; Necrosis; Painful mass; Pleomorphic adenoma; Salivary glands