Treatments


Treatment for lacrimal (tear gland) cancers may involve a combination of chemotherapy, immunotherapy, and surgery.

  • Chemotherapy

    Neoadjuvant (prior to surgery) intra-arterial chemotherapy (IACC) seems to improve survival and decrease cancer recurrence. A catheter is threaded into the groin and up to the lacrimal artery where the chemotherapy is injected. This helps prevent systemic side effects.

  • Immunotherapy or Biologic Therapy

    Also called biologic therapy, immunotherapy boosts the body's natural defenses to fight the tumor. It uses materials made either by the body or in a laboratory to improve, target, or restore your immune system function. Rituximab is the most common immunotherapy used in treating lacrimal gland tumors.

  • Exenteration

    For more advanced disease, the surgeon removes the eye and eyelid, fat, nerves, and muscle found in the eye socket area. You can be fitted for a customized artificial eye (prosthesis) after the surgery. Our experts will match the size and color to the other eye.

Tests 


During an eye exam, your doctor will ask about your symptoms and may check your vision and eye movements with an indirect ophthalmoscope (an instrument with a light and a small magnifying lens). 

Imaging tests used for diagnosing lacrimal tumors can include:

  • Ultrasound 

    This test is usually done to determine the size, shape, and location of the tumor. Sylvester has state-of-the-art ultrasound machines with dedicated highly trained ultrasound technicians. Working with Bascom Palmer eye experts, they produce fast, accurate diagnostic results.

  • Magnetic Resonance Imaging (MRI) Scan

    An MRI of the head allows us to see inside the eye and other tissues.

  • Positron Emission Tomography (PET) Scan

    PET scans help us determine if the tumor has spread to other areas of the eye or body.

  • Computerized Tomography (CT) Scan

    X-rays take a series of pictures of the inside of your eye and surrounding structures. These images are then combined by a computer, giving clear 3-D images of the area.

  • Biopsy

    Symptoms and tests might suggest you have a lacrimal tumor, but a biopsy is usually needed to confirm the diagnosis. An ophthalmologist often will perform a biopsy to remove cells from your tear gland. The cells in the biopsy sample are sent to a lab to be examined under a microscope and tested for signs of cancer.