|Year : 1955 | Volume
| Issue : 4 | Page : 77-78
Mixed Tumour of the Lacrimal Gland
Bhaskara Reddy, C.R.R.M Reddy
Dept. of Pathology, Andhra Medical College, Visakhapatnam, India
Dept. of Pathology, Andhra Medical College, Visakhapatnam
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Reddy B, Reddy C. Mixed Tumour of the Lacrimal Gland. Indian J Ophthalmol 1955;3:77-8
Lacrimal gland tumours constitute about a fourth of the comparatively rare orbital tumours. Varying percentage incidence has been recorded by different authors. (Birch Hirschfeld 30%, Salter 25%, Godtfredsen, 1948. 2000). Of these mixed tumours of the lacrimal gland are very rare and only a few cases are recorded in the literature. These tumours are more often seen in the large salivary glands and rarely seen in the other mucous glands of the oral region and palate. Willis, 1953, has not encountered a single case in his 48 recorded cases of mixed tumors. They may occur at any age and any sex and usually the history extends to over 2 years. The histological picture varies markedly and as such variety of names have been given to these tumours in the older days. But now it has been proved that the origin of these tumours is purely ectodermal or epithelial in nature and due to degenerative changes a pleomorphic appearance is seen. The signs and symptoms produced by these tumours are varying. Godtfredsen (1948), in his 52 varified orbital tumours has encountered only 10 mixed tumours and in 6 of his cases, exophthalmos was a predominantly initial symptom and only 2 cases had visual impairment. Ptosis, choked disc, bone destruction, metastases in cervical lymph nodes were also noticed in some of his cases. Prognosis in these cases is always good though recurrences and metastases have been noticed in some of the cases. We have encountered for the first time a mixed tumour of the lacrimal gland and it is recorded below for its rarity.
| Case Report|| |
Hindu Male, C. H. S., aged 35 years was admitted on 26-11-1955 in a District Headquarters Hospital for a slow growing tumour in the outer and upper aspect of the orbit of 4 years duration. Patient developed gradual proptosis of the left eye and there was no impairment of vision. About 2 months back a corneal ulcer had developed which resulted in a total anterior staphyloma. The whole eye ball along with the tumour was enucleated. [Figure - 1]
Histological study of the whole tumour showed that it was well encapsulated and a portion of normal tissue was seen to be compressed. It presented a pleomorphic appearance-in areas there were glandular elements [Figure - 2], some of them showing cystic dilatation. In other areas solid sheets of cells could be seen [Figure - 3]. Hyalinised areas are seen amidst these cellular structures. Occasionally a pseudocartilagenous appearance could be identified.
Histological diagnosis-Mixed tumour of the lacrimal gland.
| Summary|| |
1. Literature on mixed tumour of the lacrimal gland is briefly reviewed.
2. Case of mixed tumour of the lacrimal gland is recorded.
We are very thankful to the District Medical Officer, District Headquarters Hospital, Kakinada, for the case notes and to Dr. D. Govinda Reddy, for the help in the Pathological Study. The photographs have been prepared by Mr. A. S. Edwin.
| References|| |
Godtfredsen. E. (1948), Brit. Jour. Ophth. 32 :
Willis, R. A., (1953), Pathology of tumours, 2nd edition, Butterworth & Co., London.
[Figure - 1], [Figure - 2], [Figure - 3]