Chronic granulomatous inflammation occurs rarely alongside pleomorphic adenomas of the major salivary glands but would not appear to have been reported with lacrimal gland adenomas. We describe the clinical features, imaging and histopathology for 4 patients (3 female) who had granulomatous inflammation alongside lacrimal gland adenomas-the patients being with age 39, 44, 48, and 53 years at time of surgery. One patient had an asymptomatic lesion found on imaging, and the other 3 had symptoms for between 3 years and several decades. Conjecturally, this rare phenomenon might arise from an inflammatory response to leakage of secretions from the ductular components of the glands.

中文翻译：

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与多形性腺瘤相关的慢性肉芽肿性泪腺炎。

慢性肉芽肿性炎症很少与主要唾液腺的多形性腺瘤一起发生，但似乎没有与泪腺腺瘤一起发生的报道。我们描述了 4 名伴有泪腺腺瘤的肉芽肿性炎症患者（3 名女性）的临床特征、影像学和组织病理学，患者手术时年龄分别为 39 岁、44 岁、48 岁和 53 岁。一名患者影像学检查发现无症状病变，另外3名患者症状持续3年至数十年。据推测，这种罕见的现象可能是由于腺体导管成分渗漏分泌物引起的炎症反应引起的。