title: A new cause of lacrimal gland calcification: Retained metallic foreign bodies.
abstract: A 49-year-old male presented with a 4 month history of dysaesthesia in the left periorbital region. A CT scan showed a lacrimal gland mass with areas of dense calcification. Biopsies of the left lacrimal gland revealed a silver material with associated chronic granulomatous inflammation and secondary calcification. The histological specimen was sent for X-ray microanalysis. This confirmed the silver material to be aluminium. The metal fragments were subsequently discovered to be from a car aerial, which caused an orbital impaling injury 20 years prior to presentation. This is the first reported case of lacrimal gland calcification secondary to chronic metal foreign body exposure. The case is presented alongside literature reviews of lacrimal gland calcification and associated radiological findings.
authors.affiliation: a Department of Ophthalmology, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Brent
authors.affiliation: a Department of Ophthalmology, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Mota
authors.affiliation: b Department of Cancer Studies, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
authors.forename: Gerald
authors.initials: G
authors.lastname: Saldanha
authors.affiliation: c Department of Radiology, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
authors.forename: Ram
authors.initials: R
authors.lastname: Vaidhyanath
authors.affiliation: a Department of Ophthalmology, University Hospitals of Leicester , Leicester Royal Infirmary , Infirmary Square , Leicester , United Kingdom.
authors.forename: Raghavan
authors.initials: R
authors.lastname: Sampath
mesh_terms: D000535:Aluminum; D001706:Biopsy; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology*; D004577:Electron Probe Microanalysis; D005129:Eye Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000293:injuries*; D014057:Tomography, X-Ray Computed
chemical_list: D000535:Aluminum
keywords: Calcification; carcinoma; foreign body; lacrimal gland; malignancy