Adenoid cystic carcinoma of the orbit without lacrimal gland involvement and with intracranial extension: A case report.

Autor: Ohkubo Y; Department of Radiology, University Hospital Mizonokuchi, Teikyo University School of Medicine, Kanagawa, Japan., Okubo T; Department of Radiology, Tokyo Teishin Hospital, Tokyo, Japan., Asari Y; Department of Radiology, Tokyo Teishin Hospital, Tokyo, Japan., Matsuzaka Y; Department of Radiology, Tokyo Teishin Hospital, Tokyo, Japan., Kitaguchi M; Department of Radiology, Tokyo Teishin Hospital, Tokyo, Japan., Shiota S; Department of Radiology, Tokyo Teishin Hospital, Tokyo, Japan., Fujita R; Department of Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Okamoto K; Department of Neurosurgery, Tokyo Teishin Hospital, Tokyo, Japan., Obata H; Department of Ophthalmology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan., Kishida Y; Department of Pathology, Tokyo Teishin Hospital, Tokyo, Japan., Nagao T; Department of Anatomic Pathology, Tokyo Medical University, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2023 Dec 28; Vol. 19 (3), pp. 1068-1072. Date of Electronic Publication: 2023 Dec 28 (Print Publication: 2024).
DOI: 10.1016/j.radcr.2023.12.001
Abstrakt: We present a 76-year-old female with a 6-year history of decreased vision in the right eye and right-sided facial neuralgia. She had a T1 isointense and T2 isointense enhancing lesion in the right orbit and the middle cranial fossa on MRI examination. Granulomatous disease or meningioma was suspected, however, after removal, the tumor was identified by pathology as adenoid cystic carcinoma (ACC). The tumor has no radiological and clinical lacrimal grand involvement. ACC shows a slow and indolent growth pattern but is associated with poor long-term outcomes, mainly due to perineural invasion, local control failure, and distant metastasis. This case highlights the importance of a pathologic diagnosis and early intervention in similar presentations.
(© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE