Definition

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.

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.