Tumor misto da glândula lacrimal

Tella, Osvaldo Inácio; Braga, Fernando Menezes; Lauda, João Carlos Vaghetti; Suriano, Ítalo; Manso, Paulo Gois

doi:10.5935/0004-2749.19900032

RESUMO

Os autores apresentam 4 casos de tumor pleomórfico ou tumor misto de glândula lacrimal. É o tumor benigno mais freqüente da glândula lacrimal e contém elementos da linhagem epitelial e conjuntiva.

A apresentação clínica é analisada. O estudo pré-operatório inclui Rx de crânio e tomografia computadorizada.

O tratamento é cirúrgico e o resultado final é satisfatório com ressecção total em todos os casos.

Palavras-chave:
Glândula lacrimal; Proptose; Orbitotomia lateral

SUMMARY

Four cases of epithelial tumors of lacrimal gland are reported. The clinical features of this group of patients are analysed. The pre-operative evaluation included plain skull X-ray and computerized tomography. ln all cases a total ressection was obtained.

Key Words:
Lacrimal gland; Proptosis; Lateral orbitotomy

Texto completo disponível apenas em PDF.

REFERÊNCIAS BIBLIOGRÁFICAS

¹
BRIHAYE, J.: Neurosurgical approaches to orbital tumors. Adv tech stand neurosurg 3: 103-121, 1976.
²
DUANE, T.D.: Clinical Ophthalmology, vol 2: Neuro-Ophthalmology. Hogerstown MD, Horper Row Publish Inc, 1983.
³
DUKE-ELDER - Textbook of Ophthalmology. Henry Kimpton, London vol XIII, 1974.
⁴
FORBES, G.: Radiologic evaluation of orbital tumors. Clin Neurosurg 24: 474-513, 1984.
⁵
FONT, R.L. & GAMEL, J.W.: Epithelial tumors of the lacrimal gland: An analysis of 265 cases, in Jakobiec FA (ed): Ocular and adnexal tumors. Birmingham, Ala, Aesculapius Publishing Company, 1978, pp 787-805.
⁶
GONÇALVES, J.O.R.; ROCHA, H.; SILVA, F.A.: Patologia da órbita. Livro Médico Editora Ltda. 1984.
⁷
HAMMERSCHLAG, S. B.; HESSELINK, J.R.; WEBER, A.C.: Computed tomography of the eye and orbit. Applecton-Century-Crofts/Norwalk, Connecticut, 1983.
⁸
HANAFEE, W.N.: Plain views of the orbit. Rad Clinics North America vol. X: 63 - 81, 1972.
⁹
HESSELINK, J.R.; DAVIS, K.R.; ROBERTSON, G. H. : Computed tomography of masses in the lacrimal gland region. Radiology 131: 143-147, 1979.
¹⁰
HENDERSON, J.W.: Orbital tumors. Philadelphia, W.B. Saunders Co., 1973.
¹¹
HOUSEPIAN, E.M.: Intraorbital tumors. In: Operative neurosurgical tecniques. Vol 1, edited by H.H. Shmodek and W.H. Sweet. 227-244. Grune Stratton, New York, 1982.
¹²
HOUSEPIAN, E.M.; TROKELL, S. L.; JAKOBIEC, F. O. : Tumors of the orbid. In: Neurological Surgery, Ed. 2, Vol 5, edited by J.R. Youmans, 3024-3064, Philadelphia, W.B. Saunders, 1982.
¹³
KIRKPATRICK, J.A. & CAPITANIO, M.A.: Radiology of the orbit in infancy and childhood. Rad clinics North America vol. X: 143-166, 1972.
¹⁴
MAROON, J.C. & KENNERDELL, J.S.: Microsurgical aproach to orbital tumors. Clin Neurosurg capitulo 18, 1976.
¹⁵
MAROON, J.C. & KENNERDELL, J. S.: Lateral microsurgical approach to intraorbital tumors. J Neurosurg 44: 556-561, 1976.
¹⁶
MAROON, J.C.; KENNERDELL, J.S.; ABLA, A. : The diagnosis and treatment of orbital tumor. Clin Neurosurg 485-498, 1988.
¹⁷
MILLER, N.R.: Neuro-Ophthalmology of orbital tumors. Clin Neurosurg 459-473, 1984.
¹⁸
MOSELEY, I.F. & SANDERS, M.D.: Computerized tomography in neuro-ophthalmology. Chapman and Hall Ltd., 1982.
¹⁹
RAPPAPORT, H.: Atlas of tumor pathology, sect. 3, fasc. 8, Armed Forces Institute of Pathology, Washington, D.C. 1966.
²⁰
RONTAL, E.M. & GUlLFORD, F.T.: Surgical anatomy of the orbit. Ann Otol 88: 382-386, 1979.
²¹
SILVA, D. : Orbital tumors. Am J Ophthalmol 65(3): 318-339, 1968.
²²
SPENCER, W.H.: Ophthalmic pathology: An atlas and textbook, 3ª ed. Philadelphia. WB Sanders Co. 1985.
²³
TAVERAS, J. M. & WOOD, E. H. : Diagnostic Neuroradiology 12ª ed. Willians & Wilkins Company Baltimore, 1977.
²⁴
WENDE, S.; AULICH, A.; NOVER, A.: Computed tomography of orbital lesions. A cooperative study of 210 cases. Neuroradiology 13: 123-134, 1977.
²⁵
WRIGHT, J.E.; STEWART, W.B.; KROHEL, G. B. : Clinical presentation and management of lacrimal gland tumors. Brit J Ophthalmol 63: 600-606, 1979.

Datas de Publicação

Publicação nesta coleção
May-Jun 1990

Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.

[1] ¹
BRIHAYE, J.: Neurosurgical approaches to orbital tumors. Adv tech stand neurosurg 3: 103-121, 1976.

[2] ²
DUANE, T.D.: Clinical Ophthalmology, vol 2: Neuro-Ophthalmology. Hogerstown MD, Horper Row Publish Inc, 1983.

[3] ³
DUKE-ELDER - Textbook of Ophthalmology. Henry Kimpton, London vol XIII, 1974.

[4] ⁴
FORBES, G.: Radiologic evaluation of orbital tumors. Clin Neurosurg 24: 474-513, 1984.

[5] ⁵
FONT, R.L. & GAMEL, J.W.: Epithelial tumors of the lacrimal gland: An analysis of 265 cases, in Jakobiec FA (ed): Ocular and adnexal tumors. Birmingham, Ala, Aesculapius Publishing Company, 1978, pp 787-805.

[6] ⁶
GONÇALVES, J.O.R.; ROCHA, H.; SILVA, F.A.: Patologia da órbita. Livro Médico Editora Ltda. 1984.

[7] ⁷
HAMMERSCHLAG, S. B.; HESSELINK, J.R.; WEBER, A.C.: Computed tomography of the eye and orbit. Applecton-Century-Crofts/Norwalk, Connecticut, 1983.

[8] ⁸
HANAFEE, W.N.: Plain views of the orbit. Rad Clinics North America vol. X: 63 - 81, 1972.

[9] ⁹
HESSELINK, J.R.; DAVIS, K.R.; ROBERTSON, G. H. : Computed tomography of masses in the lacrimal gland region. Radiology 131: 143-147, 1979.

[10] ¹⁰
HENDERSON, J.W.: Orbital tumors. Philadelphia, W.B. Saunders Co., 1973.

[11] ¹¹
HOUSEPIAN, E.M.: Intraorbital tumors. In: Operative neurosurgical tecniques. Vol 1, edited by H.H. Shmodek and W.H. Sweet. 227-244. Grune Stratton, New York, 1982.

[12] ¹²
HOUSEPIAN, E.M.; TROKELL, S. L.; JAKOBIEC, F. O. : Tumors of the orbid. In: Neurological Surgery, Ed. 2, Vol 5, edited by J.R. Youmans, 3024-3064, Philadelphia, W.B. Saunders, 1982.

[13] ¹³
KIRKPATRICK, J.A. & CAPITANIO, M.A.: Radiology of the orbit in infancy and childhood. Rad clinics North America vol. X: 143-166, 1972.

[14] ¹⁴
MAROON, J.C. & KENNERDELL, J.S.: Microsurgical aproach to orbital tumors. Clin Neurosurg capitulo 18, 1976.

[15] ¹⁵
MAROON, J.C. & KENNERDELL, J. S.: Lateral microsurgical approach to intraorbital tumors. J Neurosurg 44: 556-561, 1976.

[16] ¹⁶
MAROON, J.C.; KENNERDELL, J.S.; ABLA, A. : The diagnosis and treatment of orbital tumor. Clin Neurosurg 485-498, 1988.

[17] ¹⁷
MILLER, N.R.: Neuro-Ophthalmology of orbital tumors. Clin Neurosurg 459-473, 1984.

[18] ¹⁸
MOSELEY, I.F. & SANDERS, M.D.: Computerized tomography in neuro-ophthalmology. Chapman and Hall Ltd., 1982.

[19] ¹⁹
RAPPAPORT, H.: Atlas of tumor pathology, sect. 3, fasc. 8, Armed Forces Institute of Pathology, Washington, D.C. 1966.

[20] ²⁰
RONTAL, E.M. & GUlLFORD, F.T.: Surgical anatomy of the orbit. Ann Otol 88: 382-386, 1979.

[21] ²¹
SILVA, D. : Orbital tumors. Am J Ophthalmol 65(3): 318-339, 1968.

[22] ²²
SPENCER, W.H.: Ophthalmic pathology: An atlas and textbook, 3ª ed. Philadelphia. WB Sanders Co. 1985.

[23] ²³
TAVERAS, J. M. & WOOD, E. H. : Diagnostic Neuroradiology 12ª ed. Willians & Wilkins Company Baltimore, 1977.

[24] ²⁴
WENDE, S.; AULICH, A.; NOVER, A.: Computed tomography of orbital lesions. A cooperative study of 210 cases. Neuroradiology 13: 123-134, 1977.

[25] ²⁵
WRIGHT, J.E.; STEWART, W.B.; KROHEL, G. B. : Clinical presentation and management of lacrimal gland tumors. Brit J Ophthalmol 63: 600-606, 1979.

Brasil