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Ophthalmic Plast Reconstr Surg. 2018 Sep/Oct;34(5):e157-e160. doi: 10.1097/IOP.0000000000001179.

Epithelial-Myoepithelial Carcinoma Presenting as a Pseudo Veno-Lymphatic Malformation.

Author information

1
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, U.S.A.
2
Department of Pathology, Yale University School of Medicine, New Haven, Connecticut, U.S.A.
3
Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut, U.S.A.

Abstract

A 41-year-old woman presented with several days of right eye pain and blurred vision. Examination and radiologic workup were consistent with a veno-lymphatic malformation, including demonstration of cystic fluid-fluid levels on imaging. Histopathology supported the presence of cystic spaces but revealed the final diagnosis of lacrimal epithelial-myoepithelial carcinoma, a rare neoplasm typically associated with the salivary gland. This represents the first reported case of lacrimal epithelial-myoepithelial carcinoma presenting with pain and evidence of intralesional cysts on radiographic and histopathologic evaluation. Better characterization will enable recognition, complete surgical excision, and potential adjuvant radiation therapy.

PMID:
30080758
DOI:
10.1097/IOP.0000000000001179
[Indexed for MEDLINE]

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