Abstract
Awell-circumscribed mass in the superotemporal orbit. Bone destruction can be seen in the orbital roof and lateral wall with tumor extension to adjacent periorbital spaces. Tumors can extend posteriorly (sometimes seen as a “wedge sign” as evidence of subperiostal involvement) in the orbit or to the intraconal space. Post-contrast T1 shows enhancement of the solid component. T2 bright cystic changes may represent areas of necrosis within the tumor. Perineural invasion can be seen. Restricted diffusion is a useful noninvasive tool in preoperative assessment. Lower ADC values are highly suggestive of malignancy. Staging includes PET imaging which shows an FDG-avid lesion.
Original language | English (US) |
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Title of host publication | Atlas of Orbital Imaging |
Publisher | Springer International Publishing |
Pages | 263-266 |
Number of pages | 4 |
ISBN (Electronic) | 9783030624262 |
ISBN (Print) | 9783030624255 |
DOIs | |
State | Published - Jan 1 2021 |
Keywords
- Adenoid cystic carcinoma
- Lacrimal gland carcinoma
- Malignant epithelial tumors of the lacrimal gland
ASJC Scopus subject areas
- General Medicine