Pleomorphic adenoma of palpebral lobe of lacrimal gland masquerading as skin adnexal tumor of eyelid

Abstract

Occurrence of Lacrimal gland tumorsis rare. Ben ign epithelial tu mors are more common of which pleomorphic adenoma is commonest. They usually occur in the orbital lobe of lacrimal g land however, they mayrarely occur in palpebral lobe. FNA C helps to rule out other pathologies and narrows the differential diagnosis. We describe a case of young female who presented with a nodular right upper eyelid swelling,clin ically diagnosed as a skin-adnexal tu mor. On FNA C, diagnosis of Chondroidsyringoma of skin adnexawas given. Histopathologically however it was confirmed to be Pleo morphic adenoma of lacrimal gland.Although rare, possibility of both chondroidsyringoma and pleomorphic adenoma of palpebral lobe of lacrimal gland should be considered in case of a mobile, nodular swelling in the upper eyelid. FNA C aids in diagnosis, however,histopathological examination remains the diagnostic gold standard.