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Arch Ophthalmol. 2004;122:778-780.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Pleomorphic adenoma is the most common epithelial tumor of the lacrimal gland, and when this tumor is suspected, removal of the mass in its entirety without biopsy should be performed.^1-2 Clinical, radiological, and ultrasonographic characteristics, such as extended duration of symptoms, absence of pain, a smooth and well-defined border, absence of bony erosion, and lack of calcification, suggest the diagnosis of pleomorphic adenoma.^3-5 We present an unusual case of pleomorphic adenoma, initially appearing as a lacrimal fossa mass with dense calcification on ultrasonographic and computed tomographic evaluations.

Report of a Case.

A 35-year-old white man was seen with a drooping left upper eyelid that he had had for 1 to 2 years (Figure 1). He denied pain or diplopia. His medical history was significant for trisomy 21 and hypothyroidism for 18 months for which he took levothyroxine sodium. His surgical history included a laceration repair of his right brow at age 8 . . . [Full Text of this Article]

Comment.
S. Tonya Stefko, MD
Pittsburgh, Pa

Cathy DiBernardo, RN, RDMS, ROUB; W. Richard Green, MD; Shannath L. Merbs, MD, PhD
Baltimore, Md

Corresponding author and reprints: Shannath L. Merbs, MD, PhD, Wilmer Eye Institute, Maumenee 127, 600 N Wolfe St, Baltimore, MD 21287 (e-mail: smerbs@jhmi.edu).

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