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Pleomorphic Adenoma of the Lacrimal Gland in a Child
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¹è±â¿õ(Bae Ki-Woong) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
±è³²ÁÖ(Kim Nam-Ju) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
Abstract
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Áõ·Ê¿ä¾à: 7¼¼ ³²¾Æ°¡ 2°³¿ù Àü ¹ß»ýÇÑ ÁÂ¾È ¾È±¸µ¹Ãâ ¹× ÁÂ¾È »ó¾È°Ë ¾È°ËÇϼö¸¦ ÁÖ¼Ò·Î ³»¿øÇÏ¿´´Ù. ¾È±¸µ¹Ãâ ¹× ¾È°ËÇϼö ¿Ü¿¡ ´Ù¸¥ ¾È°úÀû ƯÀ̼ҰßÀº ¾ø¾ú´Ù. ¾È¿Í ÀÚ±â°ø¸í¿µ»ó¿¡¼ ´«¹°»ù ³»ºÎ¿¡ °æ°è°¡ ºÐ¸íÇÑ Á¾¾çÀÌ °üÂûµÇ¾ú°í, Á¾¾ç¿¡ ÀÇÇØ ¾È¿Í »óº®(orbital roof)¿¡ ¾Ð¹ÚÁø¹«¸§(pressure erosion) ¼Ò°ßÀÌ µ¿¹ÝµÇ¾ú´Ù. ÀÌ¿¡ °¡ÂÊ ¾È¿ÍÀý°³¼úÀ» ½ÃÇàÇÏ¿© ´«¹°»ù Á¾¾çÀ» ÀýÁ¦ÇÏ¿´°í º´¸® Á¶Á÷ °Ë»ç»ó »óÇǼº°ú Áß°£¿±¼º ºÐȸ¦ ¸ðµÎ º¸À̸ç, ´Ù¾çÇÑ Å©±âÀÇ °ü»ó ±¸Á¶(duct)°¡ °üÂûµÇ¾ú°í, ÆíÆò È»ý(squamous metaplasia) ¹× Äɶóƾ Çü¼º µîÀÇ ¼Ò°ßÀ» º¸¿© ´«¹°»ù ¿©·¯ÇüÅ»ùÁ¾À¸·Î Áø´ÜÇÏ¿´´Ù.
°á ·Ð: ¼Ò¾Æ¿¡¼ ¹ß»ýÇÑ ´«¹°»ù Á¾±«ÀÇ °¨º°Áø´ÜÀ¸·Î ´«¹°»ù ¿©·¯ÇüÅ»ùÁ¾À» °í·ÁÇØ¾ß ÇÑ´Ù.
Purpose: To report one case of pleomorphic adenoma of the lacrimal gland in a child.
Case summary: A 7-year-old boy presented with a 2-month history of an exophthalmos and mild ptosis of the left eye; there were no other ophthalmologic problems. Orbit MRI revealed a well-defined mass in the left lacrimal gland and a defect in the orbital roof due to pressure erosion. Tumor resection was performed via a lateral orbitotomy and a biopsy was requested. The biopsy revealed tumor tissue that was composed of epithelial elements with variably sized duct formation. Focal squamous metaplasia and keratin production was also observed.
Conclusions: Pleomorphic adenoma of the lacrimal gland should be considered as a differential diagnosis of a lacrimal gland mass in a child.
Å°¿öµå
Lacrimal gland tumor, Pediatric, Pleomorphic adenoma
KMID :
0360220140550030422
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