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Comprehensive management of a rare carcinoma ex pleomorphic adenoma of the lacrimal gland with a modified lateral orbitotomy access osteotomy. A case report

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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.

Case report

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.

Discussion

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.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Rural Dental College, Loni, India

    Yogesh K. Kini & Rajshekhar Halli

  2. Department of Ophthalmology, Rural Medical College, Loni, India

    Somen Mishra

  3. Department of Oral and Maxillofacial Pathology, Rural Dental College, Loni, India

    Jitendra V. Kalburge

Authors
  1. Yogesh K. Kini
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  2. Rajshekhar Halli
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  3. Somen Mishra
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  4. Jitendra V. Kalburge
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Corresponding author

Correspondence to Yogesh K. Kini.

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Kini, Y.K., Halli, R., Mishra, S. et al. Comprehensive management of a rare carcinoma ex pleomorphic adenoma of the lacrimal gland with a modified lateral orbitotomy access osteotomy. A case report. Oral Maxillofac Surg 16, 123–126 (2012). https://doi.org/10.1007/s10006-011-0269-6

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  • DOI: https://doi.org/10.1007/s10006-011-0269-6

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