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A 60-year-old woman with an asymptomatic left lacrimal gland mass found incidentally Sudip D. Thakar, BS, Oded Sagiv, MD, Michael T. Tetzlaff, MD, PhD, Adel El-Naggar, MD, PhD, J. Matthew Debnam, MD, Thomas J. Kandl, MD, and Bita Esmaeli, MD, FACS Author affiliations: aOrbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery bDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston cDepartment of Translational and Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston dDepartment of Radiology, The University of Texas MD Anderson Cancer Center, Houston