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Indian J Ophthalmol. 2019 Jul;67(7):1238-1240. doi: 10.4103/ijo.IJO_1764_18.

Primary lacrimal gland teratoma in an adult: A clinicopathologic and radiological correlation.

Author information

1
Ocular Oncology Service, Centre for Sight, Asoka Capitol Building, Road No 2, Banjara Hills, Hyderabad, Telangana, India.
2
Ocular Pathology Service, Centre for Sight, Asoka Capitol Building, Road No 2, Banjara Hills, Hyderabad, Telangana, India.

Abstract

A 20-year-old male presented with a gradually growing mass in the left lateral brow region for 2 years. On imaging, the mass appeared to arise from the lacrimal gland, was cystic, without any bony abnormality. With a diagnosis of dermoid cyst, an excision biopsy was performed. The histopathology revealed an epithelium-lined cyst, with the wall of the cyst comprising dermal adnexa and inflammatory cells. The wall also contained fragments of skeletal muscle, nerve bundles, adipose tissue, exocrine and secretory acini, few blood vessels with occasional hair shafts, with the lacrimal gland in the periphery of the tumor. There were no immature elements, atypia, and malignant cells, thus confirming the diagnosis of a mature cystic teratoma. Primary lacrimal gland teratoma is a rare diagnosis and its presentation in adults is extremely uncommon.

KEYWORDS:

Lacrimal gland; orbit; teratoma

PMID:
31238481
DOI:
10.4103/ijo.IJO_1764_18
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