KMID : 0360220110520020241
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Journal of the Korean Ophthalmological Society 2011 Volume.52 No. 2 p.241 ~ p.245
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A Giant Pleomorphic Adenoma of Lacrimal Gland Involving the Palpebral Lobe Causing Severe Mechanical Ptosis
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Jung Byung-Ju
Cho Yang-Kyeung La Tae-Yoon
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Abstract
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Purpose: To report a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe causing severe mechanical ptosis and visual field defect, which was removed successfully.
Case Summary: An 82-year-old man visited our clinic with a large protruding mass on his left upper lid that had grown for approximately 10 years causing severe ptosis. Preoperative orbital CT showed a 2.3 ¡¿ 2.0 cm sized large mass which was suspicious of hemangioma. The mass was completely excised through a lid crease incision. The histopathologic examination showed typical findings of pleomorphic adenoma. After the surgery, preoperative mechanical ptosis was completely resolved and during the 6 months of follow-up, there was no abnormality of tear secretion and evidence of tumor recurrence.
Conclusions: The authors experienced a rare case of giant pleomorphic adenoma of the lacrimal gland involving the palpebral lobe and resolved mechanical ptosis by complete removal of the tumor through a lid crease incision.
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KEYWORD
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Giant pleomorphic adenoma, Lacrimal gland palpebral lobe, Mechanical ptosis
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