Malignant Tumors Flashcards
Lacrimal gland carcinoma
What is it and what 2 things cause it?
Malignant tumor of the lacrimal gland.
Causes:
- Adenoid cystic carcinoma: nest of basaloid cells. Ages 30-40.
- Pleomorphic adenocarcinoma: proliferation of epithelial cells. Usually develops due to a mixed epithelial tumor or as a recurrence of a previously resected benign mixed tumor. Usually in the elderly.
Laterality and symptoms of Lacrimal gland carcinoma
Unilateral
Displaced eye, double vision, eye pain
Lacrimal gland carcinoma sign and complication
Globe displacement inferior and medial
Restricted EOM
Eyelid Edema and Erythema
Palpable lacrimal gland mass
Intracranial extension
management of lacrimal gland carcinoma
Orbital CT or MRI
Refer out for excision
Chemotherapy
Lacrimal gland carcinoma onset
Rapid- over 1-3 months.
Orbital lymphoma. What is it?
Malignant tumor of the orbit.
Any part of the orbit may be affected, but 50% of cases affect the lacrimal gland.
Orbital lymphoma- etiology/association?
Proliferation of lymphocytes
Orbital lymphoma - unilateral or bilateral
Unilateral
Symptoms of orbital lymphoma
Displaced, bulging eye Double vision Droopy eyelid Eyelid swelling Eye pain is minor
Signs of orbital lymphoma
Proptosis Globe displacement Restricted EOM w pain on movement Ptosis Palpable mass **Pink, salmon patch of sub conj extension
orbital lymphoma complications
Compression on globe or ON
metastasis
Management of orbital lymphoma
Orbital Ct or MRI
Refer out
orbital lymphoma has __% of developing systemic lymphoma within 5 years
60%
Orbital rhabdomyosarcoma - what is it
Malignant tumor of the orbit due to proliferation of primitive mesenchymal stem cells that normally develop into skeletal muscle.
Demographics of Orbital rhabdomyosarcoma
Infancy to adulthood.
70% occur between 8-10 years old.