A rare case of lacrimal adenoid cystic carcinoma with large hepatic and multiple pulmonary metastases with successful surgical treatment

Highlights • Lacrimal gland adenoid cystic carcinoma present with late metastases. • Surgery of the primary is the only proven mode of treatment with radiotherapy used in selected cases. • Disseminated metastases can be managed successfully with staged procedures depending on the general condition of the patient. • This is the first report describing such staged surgical treatment for widespread hepatic and pulmonary metastases with a good outcome.