Adenocarcinoma of lacrimal gland

Case:
# 0542938617
Section:
Author(s):

Donato, Angel MD; Figueroa, Ramon E, MD, FACR; Pucar, Darko MD, PhD.

Augusta University
1120 15th street
Augusta, GA 30912
USA
Email: Donatoangel@yahoo.com

Patient:
Female, 41 year(s)

CLINICAL HISTORY

A 41-year-old female patient presented to the hospital with a one year history of migrainous headaches, getting progressively worse. These headaches were intermittent during the day with pain located on the right side, sometimes sharp, sometimes pressure behind the right eye. No clinical signs of an orbital mass were found.


IMAGING FINDINGS

Contrast CT head images showed a rounded extraconal lateral orbital mass centred on the right lacrimal gland with strong peripheral and mild central heterogeneous enhancement. No bony changes were present (Fig. 1).
Orbital MRI showed a T1W hypointense and T2W hyperintense mass with heterogeneous enhancement, and selective restricted diffusion of the peripherally enhancing component (Fig. 2 and 3).
Excisional biopsy revealed primary ductal adenocarcinoma of the lacrimal gland.

IMAGES