Malignant Tumors Flashcards

1
Q

Lacrimal gland carcinoma

What is it and what 2 things cause it?

A

Malignant tumor of the lacrimal gland.

Causes:

  1. Adenoid cystic carcinoma: nest of basaloid cells. Ages 30-40.
  2. 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.
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2
Q

Laterality and symptoms of Lacrimal gland carcinoma

A

Unilateral

Displaced eye, double vision, eye pain

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3
Q

Lacrimal gland carcinoma sign and complication

A

Globe displacement inferior and medial
Restricted EOM
Eyelid Edema and Erythema
Palpable lacrimal gland mass

Intracranial extension

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4
Q

management of lacrimal gland carcinoma

A

Orbital CT or MRI
Refer out for excision
Chemotherapy

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5
Q

Lacrimal gland carcinoma onset

A

Rapid- over 1-3 months.

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6
Q

Orbital lymphoma. What is it?

A

Malignant tumor of the orbit.

Any part of the orbit may be affected, but 50% of cases affect the lacrimal gland.

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7
Q

Orbital lymphoma- etiology/association?

A

Proliferation of lymphocytes

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8
Q

Orbital lymphoma - unilateral or bilateral

A

Unilateral

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9
Q

Symptoms of orbital lymphoma

A
Displaced, bulging eye 
Double vision 
Droopy eyelid 
Eyelid swelling 
Eye pain is minor
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10
Q

Signs of orbital lymphoma

A
Proptosis 
Globe displacement 
Restricted EOM w pain on movement 
Ptosis 
Palpable mass 
**Pink, salmon patch of sub conj extension
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11
Q

orbital lymphoma complications

A

Compression on globe or ON

metastasis

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12
Q

Management of orbital lymphoma

A

Orbital Ct or MRI

Refer out

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13
Q

orbital lymphoma has __% of developing systemic lymphoma within 5 years

A

60%

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14
Q

Orbital rhabdomyosarcoma - what is it

A

Malignant tumor of the orbit due to proliferation of primitive mesenchymal stem cells that normally develop into skeletal muscle.

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15
Q

Demographics of Orbital rhabdomyosarcoma

A

Infancy to adulthood.

70% occur between 8-10 years old.

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16
Q

Orbital rhabdomyosarcoma laterality

A

Unilateral

17
Q

Orbital rhabdomyosarcoma symptoms

A

Bulging eye
Double vision
Droopy eyelid
Eyelid swelling and redness

18
Q

Orbital rhabdomyosarcoma signs

A

Proptosis
Globe displacement
Restricted EOM w possible

19
Q

Orbital rhabdomyosarcoma complications

A

Compression on the globe or ON
Erosion of orbital bones
Metastasis

20
Q

Management of Orbital rhabdomyosarcoma

A

Refer to ER for CT/MRI, biopsy, chemotherapy

21
Q

Most common malignant tumor in children

A

Orbital rhabdomyosarcoma
35 new cases per year
Usually in the superior nasal orbit

22
Q

Hallmark of Orbital rhabdomyosarcoma

A

Rapid onset and progression