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A 60-year-old woman with an asymptomatic left lacrimal gland mass found incidentally
Digital Journal of Ophthalmology 2017
Volume 23, Number 4
October 18, 2017
DOI: 10.5693/djo.03.2017.07.001
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Sudip D. Thakar, BS | Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston
Oded Sagiv, MD | aOrbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston
Michael Tetzlaff, MD, PhD | Department of Pathology and Department of Translational and Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston
Adel El-Naggar, MD, PhD | Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston
Matthew Debnam, MD | Department of Radiology, The University of Texas MD Anderson Cancer Center, Houston
Thomas J. Kandl, MD | Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston
Bita Esmaeli, MD, FACS | Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston
Ancillary Testing
MRI demonstrated a hyperintense and well-circumscribed, homongeneously enhancing mass measuring 1.8 × 1.1 × 1.1 cm in the superolateral aspect of the left orbit, suggestive of a lacrimal gland mass (Figure 1). Three years prior her lacrimal gland measured 0.7 × 0.5 × 0.5 cm on MR imaging, indicating slow growth over the previous 3 years.
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Figure 1
A, T1-weighted post-contrast coronal magnetic resonance imaging (MRI) demonstrating a well, circumscribed homogeneous mass in the left superolateral orbit. B, T2-weighted precontrast axial MRI demonstrating heterogeneous signal consistent for schwannoma.