PMC4199789_01
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.
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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).
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).
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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.