Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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En Bloc Orbitectomy for Recurred Adenoid Cystic Carcinoma of the Lacrimal Gland - A Case Report -

재발된 누선과 안와 선양낭포암에 대한 전안와제거술 - 증례보고 -

  • Park, Jeong Hyun (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Young Soo (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • CHoi, Hee Yoon (Department of Plastic Surgery, College of Medicine, Hanyang University) ;
  • Ko, Yong (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Oh, Seong Hoon (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Oh, Suck Jun (Department of Neurosurgery, College of Medicine, Hanyang University)
  • 박정현 (한양대학교 의과대학 신경외과학교실) ;
  • 김영수 (한양대학교 의과대학 신경외과학교실) ;
  • 최희윤 (한양대학교 의과대학 성형외과학교실) ;
  • 고용 (한양대학교 의과대학 신경외과학교실) ;
  • 오성훈 (한양대학교 의과대학 신경외과학교실) ;
  • 오석전 (한양대학교 의과대학 신경외과학교실)
  • Received : 2000.05.19
  • Accepted : 2001.01.18
  • Published : 2001.03.28
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Abstract

A 54-year-old woman presented with an exophthalmos and a mass on her right eye, which proved to be recurred adenoid cystic carcinoma of the lacrimal gland. Orbital CT and MRI showed that tumor was located in the right orbit, but skin over right eye brow was also involved. There was no visualization of tumor extension into the intracranial compartment. The authors have performed an en bloc orbitectomy. Although en bloc orbitectomy is known to be useful in reducing recurrence, this case showed the tumor recurrence and even distant metastasis that occurred after total tumor removal via en bloc orbitectomy. As adenoid cystic carcinoma of lacrimal gland is known to have high rate of recurrence and metastasis, en bloc orbitectomy should be performed to reduce local advancement and distant metastasis. In case of distant metastasis, radiotherapy could be useful strategy in selected case.

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