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Recurrent lacrimal sac papilloma: case report
Chang Gung Medical Journal
|June 3, 2000
Summary
Recurrent dacryocystitis can indicate a lacrimal sac tumor, a rare condition. Early diagnosis and aggressive treatment of benign papillomas are crucial for preventing recurrence and achieving a cure.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Lacrimal sac tumors are rare, with benign papillomas accounting for 40% of neoplasms in the lacrimal drainage system.
- These tumors often present insidiously with symptoms mimicking dacryostenosis or dacryocystitis.
Observation:
- A 35-year-old male experienced 13 years of recurrent dacryocystitis and nasolacrimal duct obstruction.
- A medial canthal mass developed, and a lacrimal sac tumor was incidentally found during surgery for presumed dacryostenosis.
Findings:
- Histopathology confirmed a benign papilloma, which was surgically excised with dacryocystorhinostomy.
- Despite treatment, local recurrences were observed, necessitating cryotherapy and CO2 laser application.
Implications:
- This case highlights the characteristic recurrence patterns of lacrimal sac papilloma.
- Recurrent dacryocystitis should raise suspicion for an underlying lacrimal sac tumor, emphasizing the need for early diagnosis and aggressive management to ensure a cure.