title: Unusual Presentation of Lacrimal Gland Pleomorphic Adenoma.
abstract: The pleomorphic adenoma of lacrimal gland presents as a painless, progressive, slowly growing supero-temporal swelling with variable proptosis. This tumor is usually found in adults and extremely rare in teenage. We report a case of a 15-year-old boy with pleomorphic adenoma of lacrimal gland which mimicked pseudotumor of orbit due to its presentation as an orbital inflammatory disease and the age distribution. Neuroimaging also suggested pseudotumor and oral steroid was started. But, there was no improvement on steroids and ultrasound guided Fine Needle Aspiration Cytology (FNAC) was performed which suggested Pleomorphic adenoma of the lacrimal gland. En-bloc excision of the mass through antero-lateral orbitotomy was done with satisfactory final outcome The histopathological evaluation was consistent with pleomorphic adenoma of the lacrimal gland.
authors.affiliation: Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan.
authors.forename: S M
authors.initials: SM
authors.lastname: Pokhrel
authors.affiliation: Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan.
authors.forename: B P
authors.initials: BP
authors.lastname: Badu
authors.affiliation: Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
authors.forename: P
authors.initials: P
authors.lastname: Lavaju
authors.affiliation: Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan.
authors.forename: B G
authors.initials: BG
authors.lastname: Shrestha
authors.affiliation: Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan.
authors.forename: A R
authors.initials: AR
authors.lastname: Pant
authors.affiliation: Department of Pathology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
authors.forename: M
authors.initials: M
authors.lastname: Agarwal
mesh_terms: D008949:Adenoma, Pleomorphic / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D044963:Biopsy, Fine-Needle / Q000379:methods; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000209:etiology / Q000503:physiopathology; D005134:Eye Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods; D007765:Lacrimal Apparatus / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D059906:Neuroimaging / Q000379:methods; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods
keywords: lacrimal gland pleomorphic adenoma; orbitotomy; proptosis; pseudotumor.