Mortality is increased, if bony involvement is present. Appropriate hematology and oncology consultations are indicated to exclude systemic involvement, if a diagnosis of lymphoma is confirmed. Coordinated treatment with a radiation oncologist often is used for malignant and lymphoid lesions. Hospitalization may be required if treatment with chemotherapeutic agents is needed. Annual follow-up care is suggested to monitor the effects of treatment and to observe for recurrence or systemic involvement.
Incidence is much higher if the initial presentation is with bilateral lacrimal gland involvement.
Adenoid cystic carcinomas carry a poorer prognosis because of bony extension and perineural infiltration. Death commonly is due to intracranial spread and pulmonary metastasis. Pathologic criteria for effective management of epithelial lacrimal gland tumors. Combined clinical and computed tomographic diagnosis of primary lacrimal fossa lesions. Lacrimal gland tumors and simulating lesions.