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Lacrimal gland tumor

A lacrimal gland tumor is a tumor in one of the glands that produce tears. The lacrimal glands are located under the outer part of each eyebrow. Lacrimal gland tumors can be harmless (benign ) or cancerous (malignant ). About half of lacrimal gland tumors are benign.

Symptoms

  • Double vision
  • Fullness in one eyelid or the side of the face
  • Pain

Exams and Tests

You may first be examined by an eye doctor (ophthalmologist). You may then be evaluated by a head and neck doctor (otolaryngologist, or ENT), or a doctor who specializes in problems with the bony eye socket (orbit).

Tests usually include a CT or MRI scan .

Treatment

Most lacrimal gland tumors will need to be removed with surgery. Cancerous tumors may need other treatment too, such as radiation or chemotherapy.

Outlook (Prognosis)

The outlook is generally excellent for noncancerous growths. The outlook for cancer depends on the type of cancer and stage at which it is discovered.

References

Hayek B, Esmali B. Lacrimal gland tumors. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 16th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:chap 40.

Melicher-Larson JS, Jones YJ, Nerad JA. Secondary orbital tumors. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 16th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:chap 46.

Karcioglu ZA, Haik BG. Eye, orbit, and adnexal structures. In: Abeloff MD, Armitage JO, Niederhuber JE, Kastan MB, McKena WG, eds. Abeloff's Clinical Oncology. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2008:chap 71.

Yanoff M, Cameron D. Diseases of the visual system. In: Goldman L, Ausiello D, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 431.

Updated: 8/24/2013

Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.


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