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   Table of Contents      
Year : 1978  |  Volume : 26  |  Issue : 1  |  Page : 22-23

Cartilagenous Choristoma of lacrimal gland

A.M.U. Institute of Ophthalmology, Aligarh, India

Correspondence Address:
R Gogi
A.M.U. Institute of Ophthalmology, Aligarh
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Source of Support: None, Conflict of Interest: None

PMID: 711271

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How to cite this article:
Gogi R, Nath K, Shukla M. Cartilagenous Choristoma of lacrimal gland. Indian J Ophthalmol 1978;26:22-3

How to cite this URL:
Gogi R, Nath K, Shukla M. Cartilagenous Choristoma of lacrimal gland. Indian J Ophthalmol [serial online] 1978 [cited 2021 Mar 8];26:22-3. Available from: https://www.ijo.in/text.asp?1978/26/1/22/31450

A choristoma is a tumorous or cystic proliferation of tissue elements at a site where they normally do not occur.[6] A good number of cases of episcleral osseous choristoma have been described.[1],[2],[3],[7],[8]Although choristoma in ectopic lacrimal gland tissue has also been described1by Duke Elder,[4] yet we could not find any report describing such a tissue in normal lacrimal gland. In this case report the presence of choris­tomatous tissue in palpebral part of the lacrimal gland has been described.

  Case Report Top

A five years old female was reported in the out patient department of M.U. Institute of Ophthalmology with the complaints of swelling in upper outer part of the left eye for the last three years. The swelling was painless, there was sense of heaviness in that area and was increasing very gradually. There was no other com­plaint. There was no history of trauma.

On examination there was fullness in the upper outer quadrant of the orbit. On everting the lid, a growth projecting down from outer part of upper fornix could be seen [Figure - 1]. It was reddish white in colour, non- friable and measured 11.Ox 10.0mm in size. It was neither fixed to the' lid nor to the eyeball and was covered by conjunctiva. It was slightly tender on deep pressure. The swelling was not continuous into the orbit. On the basis of these findings a clinical diagnosis of inflammatory 'granuloma of palpebral part of the lacrimal gland was made.

The growth was easily removed into by opening the covering conjunctiva. The growth measured 11.0 x 10.0x5mm. The cut surface was grayish white with small areas of light bluish discolouration.

On microscopic examination there were alveoli of lacrimal gland separated by fibroconnective tissue. In between, the presence of cartilage tissue could be seen [Figure - 2],[Figure - 3]. There was no evidence of malignant cyyor any benign neoplasm. Therefore a diagnosis of choristoma of lacrimal gland was made.

  Comments Top

In a choristoma histologically the new tissue shows normal structure but the site at which they are located is not normal for this. Further, these lesions do not fit into teratoma, which should be composed of multiple tissues.

There may be a cartilage or even a bone in the normal structure of sclera in many fishes, amphibia, reptiles, and birds[9]. However, we could not find any report on the presence of cartilage in the lacrimal gland.

Duke-Elder[5] described that in sturgeons, a type of marine fish, there may be a plaque of bone external to the scleral cartilage. May be in the present case the presence of cartilage in )palpebral part of the lacrimal gland represents an atavistic phenomenon.

  Summary Top

A case of cartilagenous choristoma of palpe­bral part of lacrimal gland has been reported.

  References Top

Beckman, H,, & Sugar, H.S., 1964, Arch. Ophthal., 71, 377.  Back to cited text no. 1
Boniuk, M. & Zimmerman, L.E., 1962, Amer. J. Ophihal., 53, 290.  Back to cited text no. 2
Ballantyne, A.J., 1940, Ophthalmologica, 99, 87.   Back to cited text no. 3
Duke Elder, 1974, System of Ophthalmology, 13 Part 11661, Henry Kimpton, London.  Back to cited text no. 4
Duke-Elder, 1958, System of Ophthalmology, 1, 317, St. Louis, Mosby.  Back to cited text no. 5
Hogan, M.J. and Zimmerman, L.E., 1962, Ophthalmic Pathology-An Atlas & Textbook; 2nd edn., 341., W.B. Saunders Company, Lond.   Back to cited text no. 6
Jones, 1., 1965, Amer. J. Ophihal., 59, 514  Back to cited text no. 7
Kauffer, G. & Plater, G., 1969, Amer. J. Ophthal., 67,307  Back to cited text no. 8
Reese, A., 1951, Tumour of the Eye, 450, Hoeber, New York.  Back to cited text no. 9


  [Figure - 1], [Figure - 2], [Figure - 3]


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