case_images: PMC4199789_01
case_images: Orbital computed tomography.. Notes: (A) Coronal section. (B) Transverse section. Showing a mass lesion in the right lacrimal gland, with regular borders and internal heterogeneity, determining an inferior and medial deviation of orbital structures.
case_images: opth-8-2061Fig1.jpg
case_images: PMC4199789_01_opth-8-2061Fig1.jpg
case_images: f1-opth-8-2061
case_images: She did not report further worsening of symptoms; however, a subsequent orbital CT scan performed 2 years after the patient was admitted to our institution revealed a substantial growth of the lacrimal gland lesion, showing internal heterogeneity and evidence of osteolysis of the lateral orbital wall with orbital remodeling (Figure 1A, B).
case_images: Pleomorphic adenoma with a malignant component of myoepithelial carcinoma (right inset).. Notes: Peripherally, there is infiltration by chronic lymphocytic leukemia/small lymphocytic lymphoma (left inset).
case_images: opth-8-2061Fig2.jpg
case_images: PMC4199789_01_opth-8-2061Fig2.jpg
case_images: f2-opth-8-2061
case_images: In addition, pathology identified B-CLL lesion infiltration at the lesion's periphery, in continuity with the lesion itself (Figure 2), with a positive immunohistochemistry reaction to CD20, CD79a, CD5, CD23, CD43, and bcl-2 and a negative reaction to CD3 and cyclin D1.