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Neuroophthalmology. 2008;32(1):27-32. doi: 10.1080/01658100701818198.

Primary Adenoid Cystic Carcinoma Presenting as an Orbital Apex Tumor.

Neuro-ophthalmology (Aeolus Press)

Ramachandran Venkitaraman, Jayaprakash Madhavan, Krishnankuttynair Ramachandran, Elizabeth Abraham, Balakrishnan Rajan

Affiliations

  1. Department of Clinical Oncology, Royal Marsden Hospital, Sutton, Surrey.

PMID: 18698370 PMCID: PMC2512967 DOI: 10.1080/01658100701818198

Abstract

Primary adenoid cystic carcinoma occurring in the orbital apex is rare. We present the clinical features of a patient who initially presented with the clinical and radiologic features of an orbital pseudotumor. He developed features of orbital apex syndrome and repeat imaging showed a tumor of the orbital apex with intracranial invasion. He underwent radical skull base surgery and pathologic examination revealed adenoid cystic carcinoma in the orbital apex with a normal lacrimal apparatus. He received post operative radiation and the outcome in the light of a review of available literature is being discussed.

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