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Rare disease
CASE REPORT
A rare case of late solitary vertebral metastasis from an adenoid cystic carcinoma of the lacrimal gland
  1. Awaiz Ahmed1,
  2. Satish Kannan Rajankulam Ganesan2,
  3. Shahnawaz Haleem3,
  4. James Nicoll4
  1. 1Trauma and Orthopaedics, Buckinghamshire Healthcare NHS Trust, Amersham, UK
  2. 2East Sussex Healthcare NHS Trust, Saint Leonards-on-Sea, UK
  3. 3Department of Spinal Surgery, Southampton University Hospitals NHS Trust, Southampton, UK
  4. 4Department of Neuropathology, Southampton University Hospitals NHS Trust, Southampton, UK
  1. Correspondence to Satish Kannan Rajankulam Ganesan, satish.ganesan{at}nhs.net

Summary

Adenoid cystic carcinoma of the lacrimal gland is one among the common malignancies affecting the lacrimal gland. However, overall, it is a rare condition. It has a rather poor prognosis with local recurrence and distant haematological metastasis which are invariably multiple. We present a rare case of a 51-year-old woman who presented with localised lower thoracic pain with collapse of the T10 vertebral body, which turned out be a solitary late metastasis from her previously treated lacrimal gland tumour.

  • Eye
  • Musculoskeletal and joint disorders
  • Head and neck cancer
  • Surgical oncology
  • Orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2016-218371

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    Footnotes

    • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept, design, analysis, writing or revision of the manuscript. AA is the lead author and contributed to management of patient, information gathering, writing of the draft and analysis of data. SK-RG is the corresponding author and contributed to the review and revision of draft, analysis and input of data and coordination of submission to the journal. SH contributed to writing of draft, analysis and referencing. JN is the senior supervisor providing guidance through the process and involved with the care of patient, providing histopathological input and pictures of specimen analysis.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.