1/10. Recurrent lacrimal sac papilloma: case report.Tumors of the lacrimal sac are rare. Benign papillomas comprise approximately 40% of all neoplasms of the lacrimal drainage system. They often present insidiously with symptoms of dacryostenosis or dacryocystitis. Recurrent bouts of dacryocystitis and nasolacrimal duct obstruction were reported in a 35-year-old man over a period of 13 years. A medial canthal mass was noted in the 6th year after the onset of symptoms. A tumor was discovered incidentally during surgical intervention for presumed dacryostenosis. Surgical removal of the tumor and dacryocystorhinostomy were performed. The histopathologic report turned out to be benign papiloma. Local recurrences occurred during the follow-up period. In addition to surgical excision, we applied cryotherapy and CO2 laser to prevent further recurrence. This case we presented the characteristic recurrence of lacrimal sac papilloma and implied the possibility of tumor occurrence in a patient with recurrent dacryocystitis. We must bear in mind that a recurrent dacryocystitis may be a presentation of a lacrimal sac tumor, because early diagnosis and aggressive treatment can prevent recurrence and result in a cure.- - - - - - - - - - ranking = 1keywords = dacryocystitis (Clic here for more details about this article) |
2/10. Two cases of primary malignant melanoma of the lacrimal sac.BACKGROUND: Malignancy of the lacrimal sac is rare, and primary malignant melanoma in this region is extremely rare. methods: We report two cases of malignant melanoma of the lacrimal sac presented with epiphora and a palpable mass in the medial canthal area. We performed radical surgery and radiation therapy. RESULTS: The light microscopic, immunohistochemical, and electron microscopic studies confirmed the diagnosis. One of the patients, a 65-year-old-woman, has no evidence of recurrence or distant metastasis 3 years after surgery and radiotherapy, whereas another patient, a 56-year-old man, died of distant metastasis 6 months after surgery and radiotherapy. CONCLUSIONS: We present two cases of malignant melanoma of the lacrimal sac that masqueraded as chronic dacryocystitis. head and neck surgeons should be aware of this disease entity when encountered with patients with epiphora and mass in the medial canthal area.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
3/10. Lacrimal sac tumour presenting with blood-stained ocular discharge.Malignant epithelial tumours of the lacrimal sac are uncommon.They can mimic chronic dacryocystitis or dacryostenosis to cause a delay in diagnosis.The presence of a medial canthal lump with blood-stained ocular discharge should arouse the suspicion of this diagnosis. The prognosis of lacrimal sac tumour is often guarded especially following tumour recurrence after incomplete resection.We report a patient with squamous cell carcinoma of the lacrimal sac to highlight its presentation and clinical course.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
4/10. Early CT-scan for chronic lacrimal duct symptoms - case report of a malignant melanoma of the lacrimal sac and review of the literature.Malignant melanoma of the lacrimal sac is rare, and only 21 cases have been reported in the world literature. They have an insidious onset and may look like chronic dacryocystitis. In only 6 of these cases were there no recurrences. In most of the survivors, the diagnosis was made early which appears to be the most important prognostic factor. Hence a CT-scan in cases of persistent dacryocystitis is important. melanoma of the lacrimal duct system is a good example of a condition requiring a multidisciplinary approach between ophthalmologist and maxillofacial surgeon. Any persistently symptomatic lacrimal duct system may need a maxillofacial consultation.- - - - - - - - - - ranking = 0.5keywords = dacryocystitis (Clic here for more details about this article) |
5/10. rhabdomyosarcoma masquerading as acute dacryocystitis.An 11-year-old boy presented with right medial canthal swelling. He was initially diagnosed with dacryocystitis and treated with oral antibiotics, followed by incision and drainage of a presumed lacrimal sac abscess. Rapid recurrence of the swelling led to further clinical evaluation, including a maxillofacial CT, which revealed an extensive nasal and orbital mass that was consistent with embryonal rhabdomyosarcoma on histopathologic analysis. This represents an unusual case of rhabdomyosarcoma manifesting as acute dacryocystitis. rhabdomyosarcoma should be considered in the differential diagnosis for acquired nasolacrimal obstruction and dacryocystitis in the pediatric population.- - - - - - - - - - ranking = 1.75keywords = dacryocystitis (Clic here for more details about this article) |
6/10. A case of primary adenocarcinoma of the lacrimal sac.PURPOSE: To present a rare case of adenocarcinoma arising from the lacrimal sac. DESIGN: Interventional case report. methods: Report of a new case of primary lacrimal sac adenocarcinoma. RESULTS: The clinical presentation, workup, surgical treatment and pathology of a case of adenocarcinoma of the lacrimal sac are described. CONCLUSION: Although very rare, these tumors should be in the differential diagnosis of any lacrimal sac mass, especially those presenting above the medial canthal tendon. Other common features include expressible blood from the punctum, lack of pain, and a history of chronic epiphora or intermittent dacryocystitis. Local destruction and metastatic spread can be prevented by a high index of suspicion and early intervention.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
7/10. Acquired capillary hemangioma in the lacrimal sac region.PURPOSE: To describe two cases of acquired capillary hemangiomas in adults, in the lacrimal sac region. DESIGN: Interventional case reports. methods: review of the history, clinical examination, and pathologic findings. RESULTS: Two patients, an 80-year-old woman and a 50-year-old man, presented with a history of tearing and a slowly growing nodular mass in the lacrimal sac area. Probing and irrigation showed a patent drainage system in both cases. Both lesions were biopsied. Histopathologic examination of the specimens showed capillary hemangiomas. CONCLUSIONS: Capillary hemangiomas in the lacrimal sac area may present with clinical features of more common lesions such as dacryocystitis or mucocele, or rarer lacrimal sac malignancies. They should therefore be considered in the differential diagnosis of any nodular lesion in this area in adults, even at a very late age.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
8/10. Primary malignant melanoma of the lacrimal sac: a case report.Malignant melanoma of the lacrimal sac is very rare and primary malignant melanoma is extremely rare. It is usually diagnosed at an advanced stage after excision or biopsy of a tumor. We treated a patient with tearing and bloody discharge from the left eye. We performed a dacryocystectomy with the suspicion of a chronic dacryocystitis. However, the pathological findings and the immunohistochemical studies showed a malignant melanoma of the lacrimal sac. The patient underwent postoperative irradiation therapy. Follow up two months after surgery revealed no evidence of recurrence. early diagnosis is very important for prognosis in patients with malignant melanoma of the lacrimal sac. Because this tumor often presents with symptoms similar to dacryocystitis and may masquerade as a chronic dacryocystitis, it can be difficult to make an early diagnosis.- - - - - - - - - - ranking = 0.75keywords = dacryocystitis (Clic here for more details about this article) |
9/10. Bilateral lymphocytic infiltrates causing dacryostenosis after bilateral successful dacryocystorhinostomies.A 73-year-old woman with a history of chronic lymphocytic leukemia had bilateral dacryocystorhinostomies for bilateral chronic dacryocystitis. The procedures were performed 7 months apart. Twenty-four months after the first dacryocystorhinostomy on the left side, the patient developed a mass in the area of the left lacrimal sac causing epiphora. A repeat dacryocystorhinostomy revealed a lymphocytic infiltrate causing the left dacryostenosis. Thirty-three months after the right dacryocystorhinostomy, the patient developed a right dacryostenosis with epiphora and no mass. pathology specimens obtained during a repeat dacryocystorhinostomy on the right side revealed a similar lymphocytic infiltrate. This case is an unusual presentation of solid lymphoma in a traumatized area in a patient with chronic lymphocytic leukemia.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
10/10. Squamous cell carcinoma of the lacrimal drainage system: case report and literature review.AIMS AND BACKGROUND: Epithelial malignant tumors of the lacrimal drainage system are rare. The most prevalent type is squamous cell carcinoma. These tumors generally present with aspecific symptoms suggestive of chronic dacryocystitis, with the result that diagnosis and treatment are often delayed. methods AND STUDY DESIGN: We present the case of a patient with a squamous cell carcinoma of the lacrimal ducts and discuss the clinical and pathological features of these neoplasms, together with diagnostic and therapeutic strategies according to the data available in the literature. RESULTS AND CONCLUSIONS: The diagnostic and therapeutic approach to this kind of rare tumors has to be planned carefully. Radiographic examination of all masses arising in the medial canthus is essential. Dacryocystography allows the identification of space-occupying tumors in the lacrimal sac. Computed tomography and magnetic resonance imaging provide the most useful information about the extent of the neoplasm and its relationship with surrounding bone structures and soft tissues. Histological examination of a biopsy sample obtained by standard dacryocystectomy is essential to confirm the diagnosis. The treatment of choice is primarily surgical, consisting of complete resection with long-term follow-up. A number of surgical procedures have been described, which are more or less aggressive depending on the extension of the tumor. radiotherapy is indicated when bone or lymphatic invasion is evident, and when neoplastic cells are present in the resection margins. radiotherapy alone is not considered a treatment of choice, but only a palliative option in selected cases. The follow-up data available in the literature are incomplete. In most of the literature reports, relapse occurs in 50% of patients within 5 years.- - - - - - - - - - ranking = 0.25keywords = dacryocystitis (Clic here for more details about this article) |
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