Pleomorphic Adenoma Of The Lacrimal Gland Mimicking A Fungal Granuloma

Lacrimal gland tumors are usually benign and slow growing. Pleomorphic adenoma is the most common epithelial tumor of the lacrimal gland accounting for about 12 % of all lacrimal gland lesions (1). Malignant transformation occurs in 10-12% of tumors, the majority of which are pleomorphic adenomas. (2,3). Pleomorphic adenoma of the lacrimal gland usually presents with a longstanding progressive painless process including downward displacement of the globe with axial proptosis (4). It occurs most commonly in adults during the fourth and fifth decades of life but rarely in adolescence (1, 4, 5). We describe an interesting case of a 22-year-old male with progressive painless loss of vision, proptosis over a short duration of two months, headache and nasal obstruction of long standing duration. His clinical presentation gave a false picture of fungal granuloma making the diagnosis very confusing. This is probably the first time that such an entity being reported.