Primary sebaceous carcinoma of the lacrimal gland

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Abstract
A 35 year old woman was referred with a 6 month history of a gradually enlarging palpable mass arising in the left superotemporal orbit and causing painless, and progressive diplopia. On examination she had a palpable, hard, fixed, left superotemporal orbital mass, a non-axial proptosis, and hypoglobus. The eyelids were normal. Examination of ocular motility revealed a restriction of left elevation. In addition, she was found to have an enlarged, painless ipsilateral preauricular lymph node. Computed tomograph (CT) and magnetic resonance imaging (MRI) scans showed the mass was arising from the lacrimal gland (Fig1).

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