Abstract
Occurrence of Lacrimal gland tumorsis rare. Benign epithelial tumors are more common of which pleomorphic adenoma is commonest. They usually occur in the orbital lobe of lacrimal gland however, they mayrarely occur in palpebral lobe. FNAC helps to rule out other pathologies and narrows the differential diagnosis. We describe a case of young female who presented with a nodular right upper eyelid swelling, clinically diagnosed as a skin-adnexal tumor. On FNAC, diagnosis of Chondroidsyringoma of skin adnexawas given. Histopathologically however it was confirmed to be Pleomorphic adenoma of lacrimal gland. Although rare, possibility of both chondroidsyringoma and pleomorphic adenoma of palpebral lobe of lacrimal gland should be considered in case of a mobile, nodular swelling in the upper eyelid. FNAC aids in diagnosis, however, histopathological examination remains the diagnostic gold standard.
Highlights
Lacrimal gland is a bi-lobedeccrine secretory gland located insupero-lateral and extra-conal reg ionof the orbit [1]
Pleo morphic adenomas usually occur in the second and fifth decade of life, and incidence is slightly more in females [6]
Pleomorphic adenomas co mmonly involve the orbital lobe of the lacrimal g land, they caninvolve the palpebral lobe in about 10% of cases [6]
Summary
Lacrimal gland is a bi-lobedeccrine secretory gland located insupero-lateral and extra-conal reg ionof the orbit [1]. The lacrimal gland is a non-encapsulated gland composed of ducts and acini [2]. Tumors of lacrimal g land are rare in fine needle aspiration practice [3]. A 26years female presented with a nodular swelling in the right upper eyelid near the outer canthus of the eye of one month duration. It gradually increased in size and was not associated with pain or disturbance in vision. The subcutaneous swelling measured 0.5cm in diameter, firm in consistency, non-tender and freely mob ile. On fine needle aspiration cytology, the smears were cellular which showed presence of epithelial cells in clusters, sheets, ducts and singles with mild anisonucleosis and scant cytoplasm.
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