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Lacrimal gland tumor

A lacrimal gland tumor is a tumor in one of the glands that produces tears. The lacrimal gland is located under the outer part of each eyebrow. Lacrimal gland tumors can be harmless (benign) or cancerous (malignant). About half of lacrimal gland tumors are benign. Some masses in the lacrimal gland are not really tumors but may be due to inflammation or overgrowth of lymphoid tissue.

Symptoms

Symptoms may include:

  • Double vision
  • Fullness in one eyelid or the side of the face
  • Pain

Exams and Tests

You may first be examined by an eye doctor (ophthalmologist). You may then be evaluated by a head and neck doctor (otolaryngologist, or ENT), or a doctor who specializes in problems with the bony eye socket (orbit).

Tests most often include a CT or MRI scan.

Treatment

Most lacrimal gland tumors will need to be removed with surgery. Cancerous tumors may need other treatment too, such as radiation or chemotherapy.

Outlook (Prognosis)

The outlook is most often excellent for noncancerous growths. The outlook for cancer depends on the type of cancer and stage at which it is discovered.

Review Date: 8/4/2023

Reviewed By

Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

References

Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 391.

Dutton JJ. Orbital diseases. In: Yanoff M, Duker JS, eds. Ophthalmology. 6th ed. Philadelphia, PA: Elsevier; 2023:chap 12.10.

Houghton O, Gordon K. Ocular tumors. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 64.

Kim JS, Liss J. Masses of the lacrimal gland: evaluation and treatment. Journal of Neurological Surgery Part B: Skull Base. 2021;82(01):100-106. PMID: 33777623 pubmed.ncbi.nlm.nih.gov/33777623/.

McNab AA, Lyons CJ. Metastatic, secondary, and lacrimal gland tumors. In: Lyons CJ, Lambert SR, eds. Taylor and Hoyt's Pediatric Ophthalmology and Strabismus. 6th ed. Philadelphia, PA: Elsevier; 2023:chap 24.

Strianese D, Bonavolonta G, Dolman PJ, Fay A. Lacrimal gland tumors. In: Fay A, Dolman PJ, eds. Diseases and Disorders of the Orbit and Ocular Adnexa. Philadelphia, PA: Elsevier; 2017:chap 17.

Disclaimer

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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Lacrimal gland anatomy - Illustration Thumbnail

Lacrimal gland anatomy

The lacrimal gland is located within the orbit above the lateral end of the eye. It continually releases fluid which cleanses and protects the eye's surface as it lubricates and moistens it. These lacrimal secretions are commonly known as tears.

Illustration

 
 
Lacrimal gland anatomy - Illustration Thumbnail

Lacrimal gland anatomy

The lacrimal gland is located within the orbit above the lateral end of the eye. It continually releases fluid which cleanses and protects the eye's surface as it lubricates and moistens it. These lacrimal secretions are commonly known as tears.

Illustration

 
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