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http://dx.doi.org/10.3340/jkns.2008.44.4.273

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)
Publication Information
Journal of Korean Neurosurgical Society / v.44, no.4, 2008 , pp. 273-276 More about this Journal
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
Adenoid cystic carcinoma; Skull base; Metastasis; Prognosis;
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