A rare case of epithelial-myoepithelial carcinoma arising ex pleomorphic adenoma of the lacrimal gland: case report and review of the literature

ABSTRACT

A 92-year-old man presented with progressively worsening eye pain, diplopia on lateral gaze and blurred vision for the past 12 months. Radiological imaging confirmed a large left lacrimal gland lesion. The patient subsequently underwent a superio-lateral orbitotomy with left dacryoadenectomy and tumor removal, histopathology subsequently confirmed an epithelial-myoepithelial carcinoma arising ex pleomorphic adenoma of the lacrimal gland. Epithelial-myoepithelial carcinoma is a rare lacrimal gland tumour and the authors believe this case to be the first reported in the Australian population and associated with prolonged eye pain.

KEYWORDS:

• Epithelial-myoepithelial carcinoma
• lacrimal gland tumour

Authors contributions

The authors listed each have made a substantial contribution to the conception, analysis, interpretation of results and drafting of the provided manuscript.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Patient consent

The patient provided consent for involvement in and publication of this case. This is in keeping with tenets of the Declaration of Helsinki.

Data sharing statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.