Adenoid cystic carcinoma of the orbit without lacrimal gland involvement and with intracranial extension: A case report

We present a 76-year-old female with a 6-year history of decreased vision in the right eye and right-sided facial neuralgia. She had a T1 isointense and T2 isointense enhancing lesion in the right orbit and the middle cranial fossa on MRI examination. Granulomatous disease or meningioma was suspecte...

Full description

Saved in:
Bibliographic Details
Published inRadiology case reports Vol. 19; no. 3; pp. 1068 - 1072
Main Authors Ohkubo, Yu, Okubo, Toshiyuki, Asari, Yusuke, Matsuzaka, Yuki, Kitaguchi, Mayuka, Shiota, Saori, Fujita, Richi, Okamoto, Koichiro, Obata, Hiroto, Kishida, Yukiko, Nagao, Toshitaka
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier 01.03.2024
Subjects
Adenoid cystic carcinoma
Case Report
Ectopic
Intracranial
Lacrimal gland
Magnetic resonance imaging
Orbit
Intracranial
Case report
Lacrimal gland
Magnetic resonance imaging
Orbit
Ectopic
Adenoid cystic carcinoma
Online AccessGet full text

Cover

More Information
Summary:We present a 76-year-old female with a 6-year history of decreased vision in the right eye and right-sided facial neuralgia. She had a T1 isointense and T2 isointense enhancing lesion in the right orbit and the middle cranial fossa on MRI examination. Granulomatous disease or meningioma was suspected, however, after removal, the tumor was identified by pathology as adenoid cystic carcinoma (ACC). The tumor has no radiological and clinical lacrimal grand involvement. ACC shows a slow and indolent growth pattern but is associated with poor long-term outcomes, mainly due to perineural invasion, local control failure, and distant metastasis. This case highlights the importance of a pathologic diagnosis and early intervention in similar presentations.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.12.001