| Literature DB >> 26231189 |
Bhanu Prasad Venkatesulu1, Sushmita Pathy1, Archana George Vallonthaiel2, Bhavna Chawla3.
Abstract
A 47-year-old man with a history of recurrent pleomorphic adenoma of the right lacrimal gland presented with rapid onset of a swelling in the right orbit. Initial imaging with CT showed that the swelling was grossly involving the extraocular muscles. Hence we had a suspicion of malignant transformation, so a radical approach in the form of right orbital exenteration with anterior skull base resection and temporalis muscle reconstruction was taken. Postoperative histology revealed epithelial-myoepithelial carcinoma, with immunopositivity for epithelial and myoepithelial components. Adjuvant radiation of 60 Gy was given with three-dimensional CT-based planning. This case portrays the importance of adjuvant treatment in recurrent pleomorphic adenoma and chance of malignant transformation in rare histologies. 2015 BMJ Publishing Group Ltd.Entities:
Mesh:
Year: 2015 PMID: 26231189 PMCID: PMC4521531 DOI: 10.1136/bcr-2015-210795
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X