Chronic Granulomatous Dacryoadenitis Associated With Pleomorphic Adenoma. Issue 2 (22nd November 2021)

• Record Type: Journal Article
• Authors: Vahdani, Kaveh; Luthert, Philip J.; Rose, Geoffrey E.
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 38:Issue 2(2022)
• Page Start: e54
• Page End: e57
• Publication Date: 2021-11-22
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000002096
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Chronic granulomatous inflammation occurs rarely alongside pleomorphic adenomas of the major salivary glands but would not appear to have been reported with lacrimal gland adenomas. We describe the clinical features, imaging and histopathology for 4 patients (3 female) who had granulomatous inflammation alongside lacrimal gland adenomas—the patients being with age 39, 44, 48, and 53 years at time of surgery. One patient had an asymptomatic lesion found on imaging, and the other 3 had symptoms for between 3 years and several decades. Conjecturally, this rare phenomenon might arise from an inflammatory response to leakage of secretions from the ductular components of the glands. Abstract : Granulomatous inflammation alongside lacrimal gland pleomorphic adenoma appears rare and might be due to leakage of secretions from the ductular elements. A similar phenomenon has been reported in a few cases of salivary gland adenoma.