Title: Adenoid Cystic Carcinoma of the Lacrimal Gland

Biography:

Dr. Craig E. Geist, MD, MS, FACS, FAAO, ASOPRS is board-certified in Ophthalmology. He is an oculoplastic surgeon, orbital specialist, chair of the Department of Ophthalmology, and a professor of ophthalmology at The George Washington University School of Medicine & Health Sciences. His area of specialization focuses on eyelid and orbital tumors, eyelid and eyebrow droop, aging eyelids and wrinkles, Botox injections and dermal filler of the eyes and face, thyroid eye disease and tearing due to blocked tear ducts. Dr. Geist completed his medical training at the Virginia Commonwealth University. Following medical school, he completed his residency in ophthalmology at George Washington University and a fellowship in Oculoplastics and Orbit at Massachusetts Eye and Ear Infirmary at Harvard University Medical Center. He is a Fellow of the American Academy of Ophthalmology and a Fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery. He is listed as “Top Doctor” in Washingtonian Magazine, “Best Doctors” in Washington Consumer’s Checkbook Magazine, “America’s Top Ophthalmologists”, US News and World Report and in the Super Doctors List, the Washington Post.

Abstract

The clinicopathologic features of an isolated, primary adenoid cystic carcinoma of the lacrimal gland in a 65-year-old woman are discussed. The patient presented with a painless, slowly growing, anterior orbital mass, which appeared well circumscribed without bony involvement on imaging. Excisional biopsy was performed and histopathological examination revealed the mass to be adenoid cystic carcinoma of the lacrimal gland. The histology of other epithelial lacrimal gland tumors is discussed with a review of the literature. This case highlights the importance of having a wide differential diagnosis when treating orbital neoplasms.