Orbital rule 17: Lacrymal glands lesions

A-Unilateral lesions:

1-Inflammatory(50%)

-Acute and chronic dacryoadenitis.

-Inflammatory pseudo tumor.

-Heterogeneous or ring enhancement.

2-Neoplastic:

-Primary (benign or malignant) or secondaries

So, when you find a unilateral enlargement of one Lacrymal gland ,you write in your report:

Evidence of unilateral Lacrymal gland enlargement, picture suggestive of inflammatory versus neoplastic lesion for further evaluation.

Signs of inflammation or neoplastic

•          1-Ring enhancement with evidence of brain abscess (intra cranial extension).

•          2-Unilateral enlargement with homogenous enhancement suggests benign neoplasm as pleomorphic or mixed adenoma or dermoid cyst.

•           Unilateral enlargement with Heterogeneous enhancement and or bone erosion ,  suggests malignant process such as carcinoma , lymphoma or metastases.

B-Bilateral lesions

•          1-Sarcoidosis.

•          2-Auto immune disease such as

•              Sjogrens syndrome or

•               Mikulics syndrome.

•          3-Myxedema

•          4-Amyloidosis

•          5-Wagener’s granulomatosis.

•          6-Grave’s disease.

•          7-Lymphoma.

                               M A W G         S  A  L                   موج سال