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Adenoid cystic carcinoma of the lacrimal gland

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Pain and propstosis in the left eye.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Selected images of CT scan showing a soft tissue hyperattenuating mass in the superior lateral corner of the left orbit which has vivid contrast enhancement. 

The left orbit anterior mass in the topography of the lacrimal gland is shown with a low T1 signal, a high heterogenous signal on T2 with a small cystic area, and vivid contrast enhancement. 

Case Discussion

Adenoid cystic carcinoma is a type of a malignant tumor that affects glandular structures. Orbital adenoid cystic carcinoma usually occurs in patients aged 20-50 years.

This patient had excisional removal of the mass and the final diagnosis was confirmed by histology. 

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