Successful surgical treatment of liver and kidney metastases 25 years after a primary lacrimal gland tumor.

Among primary lacrimal gland tumors the adenoid-cystic carcinoma is the most common malignant epithelial lesion. We present a unique case of hepatic and renal metastases surgically treated 25 years after excision of a primary adenoid-cystic carcinoma of the lacrimal gland and after resection of intracranial and pulmonary metastases. The clinical and pathological features of this malignant tumor are discussed. To our knowledge this is the longest reported survival of a patient with such a tumor.