The first known case of a primary resectable adenocarcinoma of the lacrimal gland with simultaneous pulmonary metastases is presented. In the cases previously recorded, distant metastases have been detected only following the development of postoperative local recurrence of primary tumors. The present case demonstrates that, contrary to previous reports, adenocarcinoma of the lacrimal gland can metastasize early in the clinical course; and, therefore, patients with this disease should have extensive preoperative evaluation for metastases. When surgery is indicated, it should be aggressive in order to encompass the tumor completely.
Faraci RP, Chretien PB. Adenocarcinoma of the Lacrimal Gland With Simultaneous Pulmonary Metastases. Arch Surg. 1974;109(1):107-110. doi:10.1001/archsurg.1974.01360010081019