Year : 1977 | Volume
: 25 | Issue : 1 | Page : 35--36
Mucoepidermoid tumour of lacrimal gland
RN Gandhewar1, Nergish Patel1, UL Wagholikar2,
1 Department of Ophthalmology, Medical College, Aurangabad, India
2 Dept of Pathology, Grant Medical College, Bombay, India
R N Gandhewar
Department of Ophthalmology, Medical College, Aurangabad
|How to cite this article:|
Gandhewar R N, Patel N, Wagholikar U L. Mucoepidermoid tumour of lacrimal gland.Indian J Ophthalmol 1977;25:35-36
|How to cite this URL:|
Gandhewar R N, Patel N, Wagholikar U L. Mucoepidermoid tumour of lacrimal gland. Indian J Ophthalmol [serial online] 1977 [cited 2021 Jan 27 ];25:35-36
Available from: https://www.ijo.in/text.asp?1977/25/1/35/34599
Mucoepidermoid tumour of lacrimal gland is an uncommon type of tumour. Only a few cases have been reported. Reese  has reported only one such case out of a series of lacrimal gland tumours. From India Jain and Rangbulla  and Malhotra et al  have reported one case each.
Because of its rarity the following case is being reported.
Mr. (K. N. P. [Figure 1]) a 35 years male was admitted with complaints of gradual protrusion of right eye and diplopia since one year and pain, photophobia and lacrimation for the last one month. There was past history of pulmonary tuberculosis. Personal and family history was nothing particular.
Right Eye brow was at higher level. Lids were oedematous. Partial ptosis was present. Proptosis was slightly down and nasally Chemosis of the conjunctiva was present. Exposure keratitis was present in the lower part. Posterior synechia was seen at 3 O'Clock position. There were no lenticular changes. Visual acuity was counting fingers at 3 meters. Orbital resistance was increased. All movement were restricted. Firm to hard swelling in the lacrimal gland region was present. Skin was not fixed to the swelling. Preauricular and submandibular glands were not enlarged. Fundus could be seen through hazy media and was within normal limits. Left eye examination did not reveal any abnormality.
Total leucocytic count was 8,600/c.m.m. Differential leucocytic count was-Polymorphonuclear neutrophils 54%, Lymphocytes-42%, Eosinophils-4%, E.S.R. was 30 mm. (wintrope) at the end of one hour. Blood for K.T. and V.D.R.L. was negative. Post prandial blood sugar was 114 mg.%. X-Ray chest was suggestive of Koch's lesion with fibrosis in both lungs and cavitation in right upper lobe. Sputum examination was negative for acid fast bacilli. X-Ray orbit showed soft tissue shadow in upper and outer part of right orbit. Urine and stools examination was normal.
The tumour mass measured 3 cm. x 2 cm. It was soft in consistency and cut surface was pale brown in appearance and covered with mutinous material.
Tumour mass was separated by fibro collagenous tissue into well circumscribed lobules. The lobules were composed of a variety of patterns. A myxoid stroma in which islands of squamous cells and other epithelial cells arranged in duct like fashion, foci of chronic inflammatory infiltrate and haemorrhage and calcification. In other areas there was acina pattern and basophilic material in the stroma. [Figure 2]
Patient was treated for exposure keratitis with atropine eye ointment and chloromycetine eye ointment. He was given anti-tubercular treatment. Tumour was removed under general anaesthesia by giving horizontal incision in the upper lid along the superior orbital margin from outer part to mid point. Encapsulated tumour was extending upto posterior part of orbit. Tumour was removed completely. Wound was closed in layers.
Lacrimal gland tumours do not constitute the common cause of proptosis. Pleomorphic adenoma and Adenoid-cystic carcinoma are the common types of lacrimal gland tumours. The mucoepidermoid variety is the least common type. Only a few cases have been reported. These are locally malignant tumours and are likely to recur. These tumours usually arise in the duct of the lacrimal gland and contain mucus secreting and epidermoid cells. It may be solid or cystic and encapsulated or non-encapsulated. In the present case it was solid and encapsulated tumour. Till to date there was no recurrence. There was no difficulty to remove the tumour completely.
A case of Mucoepidermoid tumour of lacrimal gland causing unilateral proptosis has been reported.
I am thankful to Dr. K. D. Sharma, Dean, Grant Medical College aad Sir J. J. Group of Hospital, Bombay for according permission to publish the case report.
|1||Duke Elder. S., 1974, Sys. of Ophthal XIII, Part II, 659, Henry Kimpton, London.|
|2||Jain, I. S. and Rangbulla,V., 1967, Jour All India Ophthal. Soc., 15. 145.|
|3||Malhotra, Paul and Batra, 1967, Ophthalmologica, 153, 184.|
|4||Reese, A.B. 1963, Tumours of the Eye, 491, Harper and Row, New York.|