Abstract

Primary ductal adenocarcinoma is a rare subtype of adenocarcinoma. Literature review showed 13 cases of primary ductal adenocarcinoma of the lacrimal gland. We report a case of primary ductal adenocarcinoma of the lacrimal gland and review of literature highlighting its clinical presentation, histopathology including immunochemistry and overall outcome.

Highlights

  • Primary ductal adenocarcinoma of lacrimal gland (PDALG) has emerged as a distinct subtype of lacrimal gland adenocarcinoma [1] that accounts for 2% of all epithelial lacrimal gland tumors [2]

  • Ductal adenocarcinomas are known to have highly malignant nature with only 13 cases reported of lacrimal gland

  • We report a second case of PDALG in female and review of literature to describe the clinical, imaging and immunohistochemical features, management and prognosis of this malignancy

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Summary

Introduction

Primary ductal adenocarcinoma of lacrimal gland (PDALG) has emerged as a distinct subtype of lacrimal gland adenocarcinoma [1] that accounts for 2% of all epithelial lacrimal gland tumors [2] This neoplasm exhibits similar characteristics to ductal carcinoma of salivary gland and breast. We report a second case of PDALG in female and review of literature to describe the clinical, imaging and immunohistochemical features, management and prognosis of this malignancy. Computed tomography showed a relatively well-defined mass with diffuse enhancement in lacrimal gland region associated with erosion of roof of the orbit (Figure 1b). Our patient presented at 38 years and is the youngest case of PDALG reported till date. Five patients underwent tumor resection with globe-sparing surgery, orbital exenteration was done in 7 cases and post-operative radiotherapy was given in 7 cases (Table 1)

Discussion
Findings
60 Gy RT given

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