Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Skull Base Invasion of Adenoid Cystic Carcinoma of the Lacrimal Gland : A Case Report

  • Lee, Jae-Il (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Young-Zoon (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Eun-Hee (Department of Pathology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Kyu-Hong (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
  • Published : 2008.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

Although adenoid cystic carcinoma (ACC) of the lacrimal gland is a rarely encountered orbital tumor, it invades intracranially more frequently than carcinomas of other glands in the head and neck. A 52-year-old man underwent orbital exenteration and resection of intracranially extended tumor via a fronto-orbito-zygomatic approach in combination with a transfacial approach. Histopathologically, the tumor showed perineural, vascular, and lymphatic invasion. Additionally, he received radiotherapy (60 Gy) and adjuvant systemic cisplatin and 5-fluorouracil chemotherapy due to residual tumor in the orbit and systemic metastases (lung, ribs, and spines). He was free of progression and recurrence at 6 months after treatment. The authors report a case of skull base invasion by an ACC of the lacrimal gland to remind neurosurgeons planning intervention that this disease shows a tendency to invade intracranially.

Keywords

References

  1. Adenis JP, Saint-Blancat P : Tumeurs de la glande lacrymale in Adenis JP, Morax S (eds.) : Pathologie Orbito-Palpebrale. Paris : Masson, 1998, pp550-562
  2. Billroth T : Untersuchungen uber die Entwicklung der Bluttgefasse. Berlin : Reimer, 1856, pp5-69
  3. Byers RM, Berkeley RG, Luna M : Combined therapeutic approach to malignant lacrimal gland tumors. Am J Ophthalmol 79 : 53-55, 1975 https://doi.org/10.1016/0002-9394(75)90455-9
  4. Chummun S, McLean NR, Kelly CG, Dawes PJ, Meikle D, Fellows S, et al : Adenoid cystic carcinoma of the head and neck. Br J Plast Surg 54 : 467- 480, 2001 https://doi.org/10.1054/bjps.2001.3590
  5. Diaz EM Jr, Kies MS : Chemotherapy for skull base cancers. Otolaryngol Clin North Am 34 : 1079-1085, 2001 https://doi.org/10.1016/S0030-6665(05)70366-2
  6. Esmaeli B, Ahmadi MA, Youssef A, Diba R, Amato M, Myers JN, et al : Outcomes in patients with adenoid cystic carcinoma of the lacrimal gland. Ophthal Plast Reconstr Surg 20 : 22-26, 2004 https://doi.org/10.1097/01.IOP.0000105518.72611.4F
  7. Esmaeli B, Golio D, Kies M, DeMonte F : Surgical management of locally advanced adenoid cystic carcinoma of the lacrimal gland. Ophthal Plast Reconstr Surg 22 : 366-370, 2006 https://doi.org/10.1097/01.iop.0000232164.00208.b4
  8. Front RL, Gamel JW : Adenoid cystic carcinoma of the lacrimal gland; a clinicopathologic study of 79 cases in Nicholson DH (ed) : Ocular pathology update. New York : Masson, 1980, pp277-278
  9. Front RL, Smith SL, Bryan RG : Malignant epithelial tumors of the lacrimal gland : a clinicopathologic study of 21 cases. Arch Ophthalmol 116 : 613-616, 1998 https://doi.org/10.1001/archopht.116.5.613
  10. Gormley WB, Sekhar LN, Wright DC, Olding M, Janecka IP, Snyderman CH, et al : Management and long-term outcome of adenoid cystic carcinoma with intracranial extension : A neurosurgical perspective. Neurosurgery 38 : 1105-1113, 1996 https://doi.org/10.1097/00006123-199606000-00008
  11. Meldrum ML, Tse DT, Benedetto P : Neoadjuvant intracarotid chemotherapy for treatment of advanced adenocystic carcinoma of the lacrimal gland. Arch Ophthalmol 116 : 315-321, 1998 https://doi.org/10.1001/archopht.116.3.315
  12. Nasu M, Haisa T, Kondo T : Primary ductal carcinoma of the lacrimal gland. Pathol Int 48 : 981-984, 1998 https://doi.org/10.1111/j.1440-1827.1998.tb03870.x
  13. Rapidis AD, Givalos N, Gakiopoulou H, Faratzis G, Stavrianos SD, Vilos GA, et al : Adenoid cystic carcinoma of the head and neck. Clinicopathological analysis of 23 patients and review of the literature. Oral Oncol 41 : 328-335, 2005 https://doi.org/10.1016/j.oraloncology.2004.12.004
  14. Terasaki M, Tokutomi T, Maruiwa H, Sugita Y, Harada H, Shigemori M : High-grade adenoid cystic carcinoma originating lacrimal gland. Brain Tumor Pathol 17 : 159-163, 2000 https://doi.org/10.1007/BF02484288
  15. Verweij J, de Mulder PH, de Graeff A, Vermorken JB, Wildiers J, Kerger J, et al : Phase II study on mitoxantrone in adenoid cystic carcinomas of the head and neck : EORTC Head and Neck Cancer Cooperative Group. Ann Oncol 7 : 867-869, 1996 https://doi.org/10.1093/oxfordjournals.annonc.a010770
  16. Wiseman SM, Popat SR, Rigual NR, Hicks WL, Orner JB, Wein RO, et al : Adenoid cystic carcinoma of the paranasal sinuses or nasal cavity : a 40-year review of 35 cases. Ear Nose Throat J 81 : 510-514, 516-517, 2002
  17. Witt RL : Adenoid cystic carcinoma of the minor salivary glands. Ear Nose Throat J 70 : 218-222, 1991
  18. Wright JE : Factors affecting the survival of patients with lacrimal gland tumors. Can J Ophthalmol 17 : 3-9, 1982
  19. Wright JE, Rose GE, Garner A : Primary malignant neoplasms of the lacrimal gland. Br J Ophthalmol 76 : 401-407, 1992 https://doi.org/10.1136/bjo.76.7.401
  20. Wright JE, Stewart WB, Krohel GB : Clinical presentation and management of lacrimal gland tumours. Br J Ophthalmol 63 : 600-606, 1979 https://doi.org/10.1136/bjo.63.9.600

Cited by

  1. Adjuvant chemotherapy in lacrimal gland adenoid cystic carcinoma vol.53, pp.6, 2008, https://doi.org/10.1002/pbc.22175
  2. Three-Dimensional Multidetector CT for Anatomic Evaluation of Orbital Tumors vol.2013, pp.None, 2013, https://doi.org/10.1155/2013/674230
  3. Expression of survivin in adenoid cystic carcinoma of the lacrimal gland and the effect of intervention with arsenic trioxide in vitro vol.10, pp.1, 2008, https://doi.org/10.3892/etm.2015.2466