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March 1964

Bone Resection in the Excision of Epithelial Tumors of the Lacrimal Gland

Author Affiliations

New York
From the Institute of Ophthalmology, Presbyterian Hospital (Dr. Reese), and the Department of Ophthalmology, College of Physicians and Surgeons, Columbia University (Dr. Jones).

Arch Ophthalmol. 1964;71(3):382-385. doi:10.1001/archopht.1964.00970010398016

Introduction  It is well known that epithelial tumors of the lacrimal gland tend to recur and that the recurrence is frequently in bone. This strong propensity for bone recurrence oftentimes means that epithelial tumors of the lacrimal gland must be treated as malignant tumors even though their cytology is benign by the usual criteria.As a natural corollary it has been thought that the initial surgery is often not sufficiently radical. Emphasis has been placed on the necessity for removing the capsule and adjacent soft tissues, and in the case of histologically malignant tumors, for exenterating all of the orbital soft tissues. Furthermore, the involved bone at the time of the initial operation must be resected. If there is a recurrence in the bone, then a wide bone resection in the area of the recurrence must be done. A technique for bone resection which may include all of the

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