Tumoren der Tränendrüse

Malt lymphoma
of the lacrimal gland in a patient with Sjogren syndrome.. Coronal T2W STIR image depicts the enlarged left lacrimal gland with increased signal (arrow).
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Non-Hodgkin-Lymphom
Manifestation in der Tränendrüse links. Obere Reihe: Axial T2, T1, T1 FatSat KM. Untere Reihe: Koronar T1, T1 FatSat (Dixon), T1 FatSat KM.
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Radiopaedia • CC-by-nc-sa 3.0 • de

Lacrimal gland masses​ can be classified into two broad groups - inflammatory (~50%) and neoplastic, either lymphoma (25%) or salivary gland type tumors (~25%).

Pathology

Inflammatory
Neoplastic

Most are epithelial in origin, with ~50% benign and ~50% malignant.

Benign epithelial tumors 

These lesions are slow-growing masses more commonly found in adults in their fourth to fifth decades of life:

Malignant epithelial tumors
Non-epithelial neoplasms

Most of these cases are seen in the third decade of life, but distribution is bimodal with an earlier peak in the teenage years.

Differential diagnosis

Other rare causes of lacrimal gland masses include tuberculosis, amyloidosis, thyroid-associated orbitopathy, granulomatosis with polyangiitis. Sickle cell disease is reported to cause lacrimal gland edema .

Extra-lacrimal masses that occur in the superolateral orbit should be considered :

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Tumoren der Tränendrüse:
intraorbitale
Raumforderungen
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Sjögren-Syndrom
 
Wikipedia • CC BY-SA 3.0
Metastasen in
der Orbita
Wikipedia • CC BY-SA 4.0
Lymphom der
Tränendrüse
www.eurorad.org • CC by-nc-sa-4.0
Adenokarzinom
der Glandula lacrimalis
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