Lacrimal gland fossa lesions present a significant management challenge. The differential diagnosis is extensive. While metastatic tumor involvement should be included on every list of differential diagnoses related to an expanding mass, such involvement of the lacrimal gland is exceedingly rare.1 We report a case of occult small-cell lung carcinoma metastatic to the lacrimal gland, with some features of an inflammatory lesion.
Report of a Case.
—A 65-year-old white woman presented with a 2-week history of swelling and tenderness above her right eye. Topical antibiotics were administered. The swelling increased and the patient was referred to us.Examination revealed a tender, palpable mass in the lacrimal gland fossa and an S-shaped upper eyelid. The interpalpebral fissure was narrowed (Fig 1). The balance of the ophthalmic examination results were normal. The initial impression was dacryoadenitis, and amoxicillin therapy was started. Three days later, the patient returned with no improvement. Orbital
Tibolt RE, Meyer DR, Wobig JL. Small-Cell Carcinoma Metastatic to the Lacrimal Gland. Arch Ophthalmol. 1991;109(7):921-922. doi:10.1001/archopht.1991.01080070031017