Surgical management of lacrimal gland tumors

A variety of inflammatory lesions and tumors can present within the lacrimal gland. Given the inconsistency in the preoperative differentiation of malignant from benign tumors, complete surgical resection and histological identification remain the only means for a correct diagnosis. Lacrimal tumors such as pleomorphic adenoma have a high rate of recurrence and can undergo malignant transformation if they are not completely removed. Lacrimal gland tumors should undergo complete excision (with preservation of its capsule) without a primary incisional biopsy. These excisions can be facilitated through a lateral orbitotomy, which can offer the surgeon an exceptional approach with optimal exposure with or without the use of bone window.