Stones in the lacrimal gland: a rare condition

Jakob Halborg; Jan Ulrik Prause; Peter Bjerre Toft; Karen Skjødt; Niels Rath Tommerup; Ole Faurskov Nielsen; Steffen Heegaard; Jakob Halborg; Jan Ulrik Prause; Peter Bjerre Toft; Karen Skjødt; Niels Rath Tommerup; Ole Faurskov Nielsen; Steffen Heegaard

doi:10.1111/j.1755-3768.2008.01301.x

Stones in the lacrimal gland: a rare condition

Jakob Halborg, Jan Ulrik Prause, Peter Bjerre Toft, Karen Skjødt, Niels Rath Tommerup, Ole Faurskov Nielsen, Steffen Heegaard, Jakob Halborg, Jan Ulrik Prause, Peter Bjerre Toft, Karen Skjødt, Niels Rath Tommerup, Ole Faurskov Nielsen, Steffen Heegaard

10 Citations (Scopus)

Abstract

PURPOSE: Stones (dacryoliths) in the lacrimal drainage system are relatively common. However, stones in the lacrimal gland itself are very rare. We present three cases of lacrimal gland stones and describe the clinical and histopathological characteristics and composition of the stones. METHODS: Three patients presented with swelling in the lateral canthal region of several months' duration. Clinical examination in each case revealed a mass adjacent to the lacrimal gland. We carried out surgical excision, histological examination and Raman spectroscopy. RESULTS: Histopathological examination of the excised material showed an eosinophilic, amorphic material organized in lamellae and localized in a ductule. The findings were consistent with a stone in the lacrimal gland in all three cases. All stones were composed of proteins of similar types. After surgery, the three patients healed without complications. CONCLUSIONS: Lacrimal gland stones represent a very rare but relevant differential diagnosis when a patient presents with unilateral persistent conjunctivitis or with a tumour in the lateral canthus. Treatment is excision under local anaesthesia.

Original language	English
Journal	Acta Ophthalmologica Scandinavica
Volume	87
Issue number	6
Pages (from-to)	672-5
Number of pages	4
ISSN	1395-3907
DOIs	https://doi.org/10.1111/j.1755-3768.2008.01301.x https://doi.org/10.1111/j.1755-3768.2008.01301.x
Publication status	Published - 1 Sept 2009

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Halborg, J., Prause, J. U., Toft, P. B., Skjødt, K., Tommerup, N. R., Nielsen, O. F., Heegaard, S., Halborg, J., Prause, J. U., Toft, P. B., Skjødt, K., Tommerup, N. R., Nielsen, O. F., & Heegaard, S. (2009). Stones in the lacrimal gland: a rare condition. Acta Ophthalmologica Scandinavica, 87(6), 672-5. https://doi.org/10.1111/j.1755-3768.2008.01301.x, https://doi.org/10.1111/j.1755-3768.2008.01301.x

Halborg, J, Prause, JU, Toft, PB, Skjødt, K, Tommerup, NR, Nielsen, OF, Heegaard, S, Halborg, J, Prause, JU, Toft, PB, Skjødt, K, Tommerup, NR, Nielsen, OF & Heegaard, S 2009, 'Stones in the lacrimal gland: a rare condition', Acta Ophthalmologica Scandinavica, vol. 87, no. 6, pp. 672-5. https://doi.org/10.1111/j.1755-3768.2008.01301.x, https://doi.org/10.1111/j.1755-3768.2008.01301.x

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title = "Stones in the lacrimal gland: a rare condition",

abstract = "PURPOSE: Stones (dacryoliths) in the lacrimal drainage system are relatively common. However, stones in the lacrimal gland itself are very rare. We present three cases of lacrimal gland stones and describe the clinical and histopathological characteristics and composition of the stones. METHODS: Three patients presented with swelling in the lateral canthal region of several months' duration. Clinical examination in each case revealed a mass adjacent to the lacrimal gland. We carried out surgical excision, histological examination and Raman spectroscopy. RESULTS: Histopathological examination of the excised material showed an eosinophilic, amorphic material organized in lamellae and localized in a ductule. The findings were consistent with a stone in the lacrimal gland in all three cases. All stones were composed of proteins of similar types. After surgery, the three patients healed without complications. CONCLUSIONS: Lacrimal gland stones represent a very rare but relevant differential diagnosis when a patient presents with unilateral persistent conjunctivitis or with a tumour in the lateral canthus. Treatment is excision under local anaesthesia.",

author = "Jakob Halborg and Prause, {Jan Ulrik} and Toft, {Peter Bjerre} and Karen Skj{\o}dt and Tommerup, {Niels Rath} and Nielsen, {Ole Faurskov} and Steffen Heegaard and Jakob Halborg and Prause, {Jan Ulrik} and Toft, {Peter Bjerre} and Karen Skj{\o}dt and Tommerup, {Niels Rath} and Nielsen, {Ole Faurskov} and Steffen Heegaard",

note = "Keywords: Adult; Calculi; Humans; Lacrimal Apparatus; Lacrimal Apparatus Diseases; Male; Middle Aged; Nasolacrimal Duct; Rare Diseases; Spectrum Analysis, Raman",

year = "2009",

month = sep,

day = "1",

doi = "10.1111/j.1755-3768.2008.01301.x",

language = "English",

volume = "87",

pages = "672--5",

journal = "Acta Ophthalmologica Scandinavica",

issn = "1395-3907",

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TY - JOUR

T1 - Stones in the lacrimal gland: a rare condition

AU - Halborg, Jakob

AU - Prause, Jan Ulrik

AU - Toft, Peter Bjerre

AU - Skjødt, Karen

AU - Tommerup, Niels Rath

AU - Nielsen, Ole Faurskov

AU - Heegaard, Steffen

AU - Halborg, Jakob

AU - Prause, Jan Ulrik

AU - Toft, Peter Bjerre

AU - Skjødt, Karen

AU - Tommerup, Niels Rath

AU - Nielsen, Ole Faurskov

AU - Heegaard, Steffen

N1 - Keywords: Adult; Calculi; Humans; Lacrimal Apparatus; Lacrimal Apparatus Diseases; Male; Middle Aged; Nasolacrimal Duct; Rare Diseases; Spectrum Analysis, Raman

PY - 2009/9/1

Y1 - 2009/9/1

N2 - PURPOSE: Stones (dacryoliths) in the lacrimal drainage system are relatively common. However, stones in the lacrimal gland itself are very rare. We present three cases of lacrimal gland stones and describe the clinical and histopathological characteristics and composition of the stones. METHODS: Three patients presented with swelling in the lateral canthal region of several months' duration. Clinical examination in each case revealed a mass adjacent to the lacrimal gland. We carried out surgical excision, histological examination and Raman spectroscopy. RESULTS: Histopathological examination of the excised material showed an eosinophilic, amorphic material organized in lamellae and localized in a ductule. The findings were consistent with a stone in the lacrimal gland in all three cases. All stones were composed of proteins of similar types. After surgery, the three patients healed without complications. CONCLUSIONS: Lacrimal gland stones represent a very rare but relevant differential diagnosis when a patient presents with unilateral persistent conjunctivitis or with a tumour in the lateral canthus. Treatment is excision under local anaesthesia.

AB - PURPOSE: Stones (dacryoliths) in the lacrimal drainage system are relatively common. However, stones in the lacrimal gland itself are very rare. We present three cases of lacrimal gland stones and describe the clinical and histopathological characteristics and composition of the stones. METHODS: Three patients presented with swelling in the lateral canthal region of several months' duration. Clinical examination in each case revealed a mass adjacent to the lacrimal gland. We carried out surgical excision, histological examination and Raman spectroscopy. RESULTS: Histopathological examination of the excised material showed an eosinophilic, amorphic material organized in lamellae and localized in a ductule. The findings were consistent with a stone in the lacrimal gland in all three cases. All stones were composed of proteins of similar types. After surgery, the three patients healed without complications. CONCLUSIONS: Lacrimal gland stones represent a very rare but relevant differential diagnosis when a patient presents with unilateral persistent conjunctivitis or with a tumour in the lateral canthus. Treatment is excision under local anaesthesia.

U2 - 10.1111/j.1755-3768.2008.01301.x

DO - 10.1111/j.1755-3768.2008.01301.x

M3 - Journal article

C2 - 18700886

SN - 1395-3907

VL - 87

SP - 672

EP - 675

JO - Acta Ophthalmologica Scandinavica

JF - Acta Ophthalmologica Scandinavica

IS - 6

ER -

Stones in the lacrimal gland: a rare condition

Abstract

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