Primary adenoid cystic carcinoma of the orbital apex

Ryan D. Walsh, M. Reza Vagefi, Collin M. McClelland, Michelle Alonso-Basanta, Jason G. Newman, Tunde Farkas, Madhura A. Tamhankar

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Adenoid cystic carcinoma is an uncommon malignant tumor of epithelial origin typically arising from salivary glands. Orbital involvement may occur via direct or perineural spread from a lacrimal gland or sinonasal source. Primary orbital adenoid cystic carcinoma without involvement of the lacrimal gland is rare. The authors report a 53-year-old woman who was examined for insidious monocular vision loss and was found to have a primary adenoid cystic carcinoma of the orbital apex and cavernous sinus. Systemic workup for a primary source, including ipsilateral lacrimal gland biopsy, was negative. One must maintain a high index of suspicion for adenoid cystic carcinoma when evaluating orbital tumors.

Original languageEnglish (US)
Pages (from-to)e33-e35
JournalOphthalmic plastic and reconstructive surgery
Issue number1
StatePublished - Jan 1 2013


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